FOREST HEALTH MEDICAL CENTER LLC (NPI# 1669493664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669493664 |
Entity Type | Organization |
Organization Name | FOREST HEALTH MEDICAL CENTER LLC |
Other Organization Name | FOREST HEALTH MEDICAL CENTER |
Practice Address |
135 S Prospect St Ypsilanti MI 48198-7914 |
Practice Telephone | 7345474722 |
Practice Fax Number | 7345471461 |
Mailing Telephone | 7345474721 |
Enumeration Date | 2006-07-22 |
Last Update Date | 2018-10-22 |
Authorized Official Name | EJ LEDESMA (PRESIDENT) |
Authorized Official Telephone | 7345471410 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
5301007213 | MI | Suppliers |
N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
Y | 282N00000X | General Acute Care Hospital | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2135339 | 01 | |
MI | 304274504 | 05 |
Other Name | Type Code |
---|---|
Forest Health Medical Center | Doing Business As Name - Organization |
Street Address |
135 S PROSPECT ST |
City | YPSILANTI |
State | MI |
Zip Code | 48198-7914 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871592188 | Kristin A Keskey | Internal Medicine | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2005-07-19 |
1891303061 | Pfefferkorn Md Pllc | Internal Medicine | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2020-07-14 |
1346867728 | Samar Abouelella | Pharmacist | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2020-07-01 |
1528698107 | Adam Thomas Derubeis | Physician Assistant | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2020-01-22 |
1407495161 | Tanika Marie Dooley | Nurse Practitioner | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2019-12-29 |
1679121461 | Kathleen Mavourneen Cusick | Psychologist | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2019-08-27 |
1942767991 | Abram John Jensen | Physician Assistant | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2019-02-26 |
1932638145 | Midwest Management Company, LLC | Surgery | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2017-06-09 |
1346779881 | Sarah Elizabeth Schmitz | Physician Assistant | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2017-06-08 |
1164960787 | Donna Khoury | Counselor | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2017-02-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740840602 | Paxxon Healthcare Services LLC | Occupational Therapist | 8100 Geddes Road, Superior Township, MI 48198 | 2019-06-13 |
1053885137 | Justine Altman | Health Educator | 9855 High Meadow Dr., Ypsilanti, MI 48198 | 2019-01-11 |
1730650516 | Mark Neumann | Driver | 1233 Hull Ave, Ypsilanti, MI 48198 | 2018-12-05 |
1144703810 | Douglas John Pealer | Speech-Language Pathologist | 8100 Geddes Rd, Superior Charter Township, MI 48198 | 2018-09-10 |
1225520919 | Kathleen M Hartwell-king Iv | Nurse Practitioner | 315 Holmes Rd, Ypsilanti, MI 48198 | 2018-05-30 |
1205354339 | Kawana Young | Home Health | 1811 George Ave, Ypsilanti, MI 48198 | 2017-09-09 |
1477009173 | Brittney Thomas | Technician, Other | 1431 Leforge Rd Apt 301, Ypsilant, MI 48198 | 2016-09-01 |
1528461167 | Emily Purdey | Social Worker | 8604 Pine Ct, Ypsilanti, MI 48198 | 2014-09-26 |
1063812550 | Harry Lee Hampton Jr. | Driver | 868 Allen St, Ypsilanti, MI 48198 | 2014-09-03 |
1073932760 | Ed Mcswain | Counselor | 6633 Stoney Creek Rd, Ypsilanti, MI 48198 | 2014-04-10 |
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Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699125922 | Sarah Finlay | General Acute Care Hospital | 5333 Mcauley Dr Ste 40001, Ypsilanti, MI 48197-1014 | 2016-06-17 |
1134729114 | St Joseph Mercy Hospital | General Acute Care Hospital | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2020-10-28 |
1619303195 | St Joseph Mercy Hospital | General Acute Care Hospital | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2013-09-17 |
1366752776 | Saint Joseph Mercy Health System | General Acute Care Hospital | 5325 Elliott Dr Ste 102, Ypsilanti, MI 48197-8633 | 2010-10-19 |
1073705240 | St. Joseph Mercy Hospital | General Acute Care Hospital | 5315 Elliott Dr, Suite 102, Ypsilanti, MI 48197-8634 | 2007-08-13 |
1679778229 | Trinity Health-michigan | General Acute Care Hospital | 5301 Mcauley Dr, Room 1267, Ypsilanti, MI 48197-1051 | 2007-06-15 |
1518091115 | St.joseph Mercy Health System | General Acute Care Hospital | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2007-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740899194 | Ascension Michigan Employer Solutions LLC | General Acute Care Hospital | 5555 Conner St Ste 2818, Detroit, MI 48213-3448 | 2020-07-30 |
1295246106 | Henry Ford Health Sytems | General Acute Care Hospital | 18800 Hubbard Dr, Dearborn, MI 48126-4305 | 2017-10-18 |
1972043081 | Melissa Kovaleski | General Acute Care Hospital | 1029 Chestnut Ln, South Lyon, MI 48178-1896 | 2017-03-08 |
1528412517 | Bess Marie Connors | General Acute Care Hospital | 1506 Pontiac Trl, Ann Arbor, MI 48105-1719 | 2016-04-16 |
1093198624 | The Memorial Hospital | General Acute Care Hospital | 826 W King St # 1-117, Owosso, MI 48867-2120 | 2015-07-01 |
1326428285 | Ipc Hospitalist Company | General Acute Care Hospital | 1628 Huntwood Park Ct, West Bloomfield, MI 48324-3998 | 2015-06-05 |
1689088304 | Florida Hospital | General Acute Care Hospital | 7922 Barrie, Dearborn, MI 48126 | 2014-06-20 |
1720491954 | University of Michigan | General Acute Care Hospital | 1515 E. Hospital Drive, Towsley Center, 1218, Spc 5222, Ann Arbor, MI 48109-5222 | 2014-06-05 |
1366866956 | Bronson Methodist Hospital | General Acute Care Hospital | 601 John St Ste M-425, Kalamazoo, MI 49007-5354 | 2014-02-18 |
1912334756 | Mrinal Supriya | General Acute Care Hospital | 6697 Stillwell, West Bloomfield, MI 48322-1364 | 2013-10-10 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.