Organization · Type 2 NPI

Henry Ford Macomb Hospital Corporation

Psychiatric Hospital · Mount Clemens, MI

NPI number 1043357486 Active

Practice location

215 North Ave
Mount Clemens, MI 48043-1716

Specialties and licenses

Taxonomy	Code	License
Psychiatric Hospital Primary	283Q00000X	H0682005 (MI)

Psychiatric Hospital: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

17 other providers at this address

NPI record

NPI: 1043357486
Entity type: Organization (Type 2)
Issued: Feb 1, 2007
Last updated: Apr 23, 2021
Status: Active

Other names

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Henry Ford Macomb Hospital - Mt. Clemens Campus · doing business as
Henry Ford Macomb Hospital - Mt. Clemens Campus · doing business as

Authorized official

Mr. Stephen Hathaway
VP
(586) 263-2705

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043357486

Henry Ford Macomb Hospital Corporation's National Provider Identifier is 1043357486, issued on Feb 1, 2007. The primary taxonomy on file is Psychiatric Hospital (283Q00000X), and the practice location is in Mount Clemens, MI. The record was last updated on Apr 23, 2021.