Provider Demographics
NPI:1164065314
Name:HENR Y FORD HEALTH SYSTEM
Entity Type:Organization
Organization Name:HENR Y FORD HEALTH SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IT SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-723-0291
Mailing Address - Street 1:30100 TELEGRAPH RD STE 200
Mailing Address - Street 2:
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4516
Mailing Address - Country:US
Mailing Address - Phone:248-723-0291
Mailing Address - Fax:248-642-6094
Practice Address - Street 1:1777 3RD. AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48226
Practice Address - Country:US
Practice Address - Phone:313-456-9380
Practice Address - Fax:313-447-1062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-21
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI904OtherCHAIN CODE GNPPN
MI655OtherCHAIN CODE