HENRY FORD MACOMB HEALTH CENTERS-BRUCE TWP/CHESTERFIELD/FRASER – NPI #1205060076
Clinic/Center

HENRY FORD MACOMB HEALTH CENTERS-BRUCE TWP/CHESTERFIELD/FRASER is an AHC clinic located in BRUCE TOWNSHIP, MI. NPPES has assigned the NPI number 1205060076 to HENRY FORD MACOMB HEALTH CENTERS-BRUCE TWP/CHESTERFIELD/FRASER on May 08, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HENRY FORD MACOMB HEALTH CENTERS-BRUCE TWP/CHESTERFIELD/FRASER” is a dba name, the actual legal business name for this organization is HENRY FORD MACOMB HOSPITAL CORPORATION. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 2 years ago on Mar 06, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HENRY FORD MACOMB HEALTH CENTERS-BRUCE TWP/CHESTERFIELD/FRASER below.

NPI Profile for
HENRY FORD MACOMB HOSPITAL CORPORATION

NPI Number
1205060076
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HENRY FORD MACOMB HOSPITAL CORPORATION
Doing Business As (dba): HENRY FORD MACOMB HEALTH CENTERS-BRUCE TWP/CHESTERFIELD/FRASER
Primary location
80650 VAN DYKE RD
BRUCE TOWNSHIP, MI 48065-1333
Phone: (810) 798-6433 Fax: (810) 798-6436
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KELLY RATOWSKI
DIRECTOR OF PROVIDER AFFAIRS
Phone: (248) 703-2003
Updated
Certification Date
Mar 06, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)		 MI

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.