Center For Senior Independence Phcy

LBN: Henry Ford Health System
Center For Senior Independence Phcy is an health care organization with primary practice located at 7800 W Outer Dr Ste 240 , Detroit MI 48235-3458. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Henry Ford Health System can be contacted via phone (313) 653-2323, or through Richards, Kim via phone (303) 653-2323.

Contact Information

Primary practice address
7800 W Outer Dr Ste 240 Detroit MI 48235-3458
Phone: (313) 653-2323
Fax: (313) 653-2022
Website:
Map and Directions
Authorized official contact:
Name: Richards, Kim RPH MBA
Phone: (303) 653-2323

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 5301007269 Michigan
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1699711101
LBN Legal business name Henry Ford Health System
DBA Doing business as Center For Senior Independence Phcy
Authorized official Richards, Kim RPH MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated May 4th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699711101 NPPES
Michigan MEDICAID 4070184
Michigan Other 2361830

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