Covered Entity Details

DSH230053SC HENRY FORD HOSPITAL (Terminated) - information as of 4/23/2025 10:54:27 PM

Main Details

Name

HENRY FORD HOSPITAL

Subdivision Name

Henry Ford Medical Center Mercy Monroe Neurosurgery

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH230053SC

Medicare Provider Number

230053

Outpatient Facility Provider Number

Additional Details

Current Program Status

Terminated

Registration Date

10/1/2013

Participating Start Date

1/1/2014

Participating Approval Date

12/5/2013

Last Recertification Date

9/7/2020

Termination Date
Termination Reason

10/1/2021
Site closure

Contacts

Authorizing Official

Henry Ford Hospital
Doug Clark, SVP - Corporate Finance
(313) 874-5446

Primary Contact

Henry Ford Hospital
Alexander Mansour, 340B Compliance Officer
(248) 723-0020

Addresses

Street Address

730 North Macomb St. Professional Building, Ste 300
Monroe, MI 48162

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
MI	1558174	1134144801
IN		1134144801

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH230053AAA	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER BLOOMFIELD TOWNSHIP - FUNCTIONAL MEDICINE	1961 South Telegraph Road	Bloomfield Township	MI	Active
DSH230053AAB	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER TAYLOR - BONE DENSITOMETRY	24555 Haig Road	Taylor	MI	Terminated
DSH230053AAC	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER CANTON - BONE DENSITOMETRY	6100 North Haggerty Road	Canton	MI	Terminated
DSH230053AAD	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER BROWNSTOWN CANCER INSTITUTE - HEMATOLOGY ONCOLOGY	19675 Allen Road	Brownstown Township	MI	Active
DSH230053AAE	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER FAIRLANE - ORTHOPEDIC WALK-IN CLINIC	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053AAF	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER BLOOMFIELD TOWNSHIP - OCCUPATIONAL THERAPY	1961 South Telegraph Road	Bloomfield Township	MI	Active
DSH230053AAG	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER COTTAGE - ORTHOPEDICS	159 Kercheval Ave	Grosse Pointe Farms	MI	Active
DSH230053AAH	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER COTTAGE - NEUROLOGY	159 Kercheval Ave	Grosse Pointe Farms	MI	Active
DSH230053AAJ	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER COTTAGE - BONE DENSITOMETRY	159 Kercheval Ave	Grosse Pointe Farms	MI	Active
DSH230053AAK	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER COTTAGE - ORTHOPEDIC WALK-IN CLINIC	159 Kercheval Ave	Grosse Pointe Farms	MI	Terminated
DSH230053AAL	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER BLOOMFIELD TOWNSHIP - CARDIO NON-INVASIVE	1961 South Telegraph Road	Bloomfield Township	MI	Active
DSH230053AAM	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - RADIOLOGY	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053AAN	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD CANCER PAVILION - RADIOLOGY	2800 WEST GRAND BLVD	DETROIT	MI	Active
DSH230053AAP	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD DP PERFORMANCE CENTER - RADIOLOGY	690 AMSTERDAM ST	DETROIT	MI	Active
DSH230053AAQ	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER TAYLOR - MAMMOGRAPHY	24555 HAIG ROAD	TAYLOR	MI	Active
DSH230053AAR	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - MAMMOGRAPHY	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053AAS	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD CANCER PAVILION - MRI	2800 WEST GRAND BLVD	DETROIT	MI	Active
DSH230053AAT	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD DP PERFORMANCE CENTER - MRI	690 AMSTERDAM ST	DETROIT	MI	Active
DSH230053AAU	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - MRI	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053AAV	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - C.T. RADIOLOGY	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053AAW	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD CANCER PAVILION - C.T. RADIOLOGY	2800 WEST GRAND BLVD	DETROIT	MI	Active
DSH230053AAX	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER BLOOMFIELD HILLS - C.T. RADIOLOGY	1961 SOUTH TELEGRAPH ROAD	BLOOMFIELD TOWNSHIP	MI	Active
DSH230053AAY	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD CANCER PAVILION - PET	2800 WEST GRAND BLVD	DETROIT	MI	Active
DSH230053AAZ	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - ULTRASOUND	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053AG	Child	DSH	HENRY FORD HOSPITAL	MEDICAL CENTER SOMERSET REPRODUCTIVE MEDICINE	2825 Livernois	Troy	MI	Active
DSH230053AI	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Access GYN Clinic	6450 MAPLE	DEARBORN	MI	Terminated
DSH230053BBA	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER BLOOMFIELD HILLS - ULTRASOUND	1961 SOUTH TELEGRAPH ROAD	BLOOMFIELD TOWNSHIP	MI	Active
DSH230053BBB	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - RECOVERY ROOM	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053BBC	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - ANESTHESIA PAIN	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053BBD	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - ANESTHESIOLOGY	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053BBE	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD CANCER PAVILION - PATHOLOGY STAT LAB	2800 WEST GRAND BLVD	DETROIT	MI	Terminated
DSH230053BBF	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD CANCER PAVILION - PATHOLOGY OP LAB	2800 WEST GRAND BLVD	DETROIT	MI	Active
DSH230053BBG	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD DP PERFORMANCE CENTER - SPORTS MEDICINE	690 AMSTERDAM ST	DETROIT	MI	Active
DSH230053BBH	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD DP PERFORMANCE CENTER - PATHOLOGY	690 AMSTERDAM ST	DETROIT	MI	Terminated
DSH230053BBJ	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD DP PERFORMANCE CENTER - PHYSICAL THERAPY	690 AMSTERDAM ST	DETROIT	MI	Active
DSH230053BBK	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD CANCER PAVILION - DERMATOLOGY	2800 WEST GRAND BLVD	DETROIT	MI	Active
DSH230053BBL	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - ALLERGY	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053BBM	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ONE FORD PLACE - BEHAVIORAL HEALTH VIRTUAL CARE	ONE FORD PLACE	DETROIT	MI	Active
DSH230053BBN	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - ORAL SURGERY	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053BBP	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - OPHTHALMOLOGY	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053BBQ	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD DP PERFORMANCE CENTER - INTEGRATIVE MEDICINE	690 AMSTERDAM ST	DETROIT	MI	Active
DSH230053BBR	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD DP PERFORMANCE CENTER - STRENGTHEN LAB	690 AMSTERDAM ST	DETROIT	MI	Active
DSH230053BBS	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - OCCUPATIONAL THERAPY	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053BBT	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER FAIRLANE - SPEECH PATHOLOGY	19401 HUBBARD DRIVE	DEARBORN	MI	Active
DSH230053BBU	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER SEVILLE - SPEECH PATHOLOGY	15420 19 MILE ROAD	CLINTON TOWNSHIP	MI	Active
DSH230053BBV	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD DP PERFORMANCE CENTER - EXECUTIVE MEDICINE	690 AMSTERDAM ST	DETROIT	MI	Active
DSH230053BBW	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - AMBULATORY SURGERY	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053BBX	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - UROLOGY	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053BBY	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER WYANDOTTE - UROLOGY	2333 BIDDLE AVE	WYANDOTTE	MI	Active
DSH230053BBZ	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER BLOOMFIELD HILLS - THORACIC SURGERY	1961 SOUTH TELEGRAPH ROAD	BLOOMFIELD TOWNSHIP	MI	Active
DSH230053BC	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Grosse Pointe Park Ophthalmology	15401 E. Jefferson	Grosse Pointe Park	MI	Active
DSH230053BD	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Ann Arbor Radiology	2755 Carpenter Road	Ann Arbor	MI	Terminated
DSH230053BE	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Ann Arbor Primary Care	2755 Carpenter Road	Ann Arbor	MI	Terminated
DSH230053BF	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Ann Arbor Internal Medicine	2755 Carpenter Road	Ann Arbor	MI	Terminated
DSH230053BG	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Ann Arbor Family Practice	2755 Carpenter Road	Ann Arbor	MI	Terminated
DSH230053BH	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Ann Arbor Pediatrics	2755 Carpenter Road	Ann Arbor	MI	Terminated
DSH230053BJ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Canton Primary Care	6100 Haggerty Road	Canton	MI	Terminated
DSH230053BK	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Canton Internal Medicine	6100 Haggerty Road	Canton	MI	Terminated
DSH230053BL	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Canton Family Practice	6100 Haggerty Road	Canton	MI	Terminated
DSH230053BM	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Canton Pediatrics	6100 Haggerty Road	Canton	MI	Terminated
DSH230053BN	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus Pathology	39450 12 Mile Road	Novi	MI	Active
DSH230053BP	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus Podiatry	39450 12 Mile Road	Novi	MI	Active
DSH230053BQ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus Colorectal Surgery	39450 12 Mile Road	Novi	MI	Active
DSH230053BR	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus Plastic Surgery	39450 12 Mile Road	Novi	MI	Active
DSH230053BS	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus MOHS Surgery	39450 12 Mile Road	Novi	MI	Active
DSH230053BT	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus Sleep Medicine	39450 12 Mile Road	Novi	MI	Active
DSH230053BU	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus Physical Therapy	39450 12 Mile Road	Novi	MI	Active
DSH230053BV	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus Occupational Therapy	39450 12 Mile Road	Novi	MI	Active
DSH230053BW	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus Radiology	39450 12 Mile Road	Novi	MI	Active
DSH230053BX	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus After Hours Care	39450 12 Mile Road	Novi	MI	Terminated
DSH230053BY	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus Allergy	39450 12 Mile Road	Novi	MI	Active
DSH230053BZ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus Anti-Coagulation	39450 12 Mile Road	Novi	MI	Terminated
DSH230053CA	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus Endocrinology	39450 12 Mile Road	Novi	MI	Active
DSH230053CB	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus Gastroenterology	39450 12 Mile Road, Suite 1B	Novi	MI	Active
DSH230053CC	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus Nephrology	39450 12 Mile Road	Novi	MI	Active
DSH230053CCA	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER MACOMB - BREAST CANCER SURGERY	15855 19 MILE ROAD	CLINTON TOWNSHIP	MI	Active
DSH230053CCB	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - NEUROLOGY	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053CCC	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - ORTHOPEDICS	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053CCD	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - CARDIOLOGY	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053CCE	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - GASTROENTEROLOGY	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053CCF	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - SPORTS MEDICINE	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053CCG	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER BLOOMFIELD HILLS - ENDOCRINOLOGY	1961 SOUTH TELEGRAPH ROAD	BLOOMFIELD TOWNSHIP	MI	Active
DSH230053CCH	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER CLINTON TOWNSHIP - VISION REHAB	33100 GRATIOT AVE	CLINTON TOWNSHIP	MI	Active
DSH230053CCJ	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - SLEEP CENTER	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053CCK	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ONE FORD PLACE - FAMILY PRACTICE	ONE FORD PLACE	DETROIT	MI	Active
DSH230053CCL	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD CANCER PAVILION - EXERCISE AND INTEGRATIVE THERAPY	2800 WEST GRAND BLVD	DETROIT	MI	Active
DSH230053CCM	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD CANCER PAVILION - BONE DENSITY	2800 WEST GRAND BLVD	DETROIT	MI	Active
DSH230053CCN	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - WALK-IN CLINIC	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053CCP	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER NEW CENTER ONE - MATERNAL SERUM SCREEN	3031 WEST GRAND BLVD	DETROIT	MI	Active
DSH230053CCQ	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD CANCER PAVILION - INTEGRATIVE MEDICINE	2800 WEST GRAND BLVD	DETROIT	MI	Active
DSH230053CCR	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER TROY - REPRODUCTIVE MEDICINE	2825 LIVERNOIS	TROY	MI	Terminated
DSH230053CCS	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD CANCER PAVILION - ONCOSTAT	2800 WEST GRAND BLVD	DETROIT	MI	Active
DSH230053CCT	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PLYMOUTH 2 - UROLOGY	40777 ANN ARBOR RD E	PLYMOUTH	MI	Active
DSH230053CCU	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER DETROIT - ORAL SURGERY	2671 W GRAND BLVD	DETROIT	MI	Active
DSH230053CCV	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD DP PERFORMANCE CENTER - ORTHOPAEDICS	690 AMSTERDAM ST	DETROIT	MI	Active
DSH230053CCW	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PLYMOUTH 2 - ORTHOPAEDICS	40777 ANN ARBOR RD E	PLYMOUTH	MI	Active
DSH230053CCX	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - PODIATRY	110 E 2ND ST	ROYAL OAK	MI	Active
DSH230053CCY	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER FAIRLANE - INFUSION	19401 HUBBARD DR	FAIRLANE	MI	Active
DSH230053CCZ	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER BLOOMFIELD HILLS - NEPHROLOGY	1961 S TELEGRAPH RD	BLOOMFIELD TOWNSHIP	MI	Active
DSH230053CD	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus Oncology	39450 12 Mile Road, Suite 1B	Novi	MI	Active
DSH230053CE	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus Pulmonary Medicine	39450 12 Mile Road	Novi	MI	Active
DSH230053CF	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus Internal Medicine	39450 12 Mile Road	Novi	MI	Active
DSH230053CG	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus International Travel	39450 12 Mile Road	Novi	MI	Active
DSH230053CH	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus Sports Medicine	39450 12 Mile Road	Novi	MI	Active
DSH230053CJ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Detroit Northwest Internal Medicine	7800 W. Outer Drive	Detroit	MI	Active
DSH230053CK	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Detroit Northwest Family Medicine	7800 W. Outer Drive	Detroit	MI	Active
DSH230053CL	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Detroit Northwest Ophthalmology	7800 W. Outer Drive	Detroit	MI	Terminated
DSH230053CM	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Detroit Northwest OB/Gyn	7800 W. Outer Drive	Detroit	MI	Active
DSH230053CN	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Detroit Northwest Pediatrics	7800 W. Outer Drive	Detroit	MI	Terminated
DSH230053CP	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Detroit Northwest Pathology	7800 W. Outer Drive	Detroit	MI	Active
DSH230053CQ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Detroit Northwest Podiatry	7800 W. Outer Drive	Detroit	MI	Active
DSH230053CR	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Detroit Northwest Anti-Coagulation	7800 W. Outer Drive	Detroit	MI	Terminated
DSH230053CS	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Detroit Northwest Nephrology	7800 W. Outer Drive	Detroit	MI	Active
DSH230053CU	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Harbortown Internal Medicine	3370 East Jefferson Ave.	Detroit	MI	Terminated
DSH230053CV	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Harbortown Pathology	3370 East Jefferson Ave.	Detroit	MI	Active
DSH230053CW	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center New Center One OB/Gyn	3031 West Grand Boulevard	Detroit	MI	Active
DSH230053CX	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center New Center One Urogynecology	3031 West Grand Boulevard	Detroit	MI	Active
DSH230053CY	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center New Center One Pediatrics	3031 West Grand Boulevard	Detroit	MI	Active
DSH230053CZ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center New Center One Pediatric Autism Center	3031 West Grand Boulevard	Detroit	MI	Terminated
DSH230053DA	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center New Center One Genetics	3031 West Grand Boulevard	Detroit	MI	Active
DSH230053DB	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center New Center One Anti-Coagulation	3031 West Grand Boulevard	Detroit	MI	Terminated
DSH230053DC	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center New Center One Endocrinology/Metabolism	3031 West Grand Boulevard	Detroit	MI	Active
DSH230053DD	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center New Center One Rheumatology	3031 West Grand Boulevard	Detroit	MI	Active
DSH230053DDA	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - FUNCTIONAL MEDICINE	110 E 2ND ST	ROYAL OAK	MI	Active
DSH230053DDB	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PLYMOUTH 2 - CARDIOLOGY	40777 ANN ARBOR RD E	PLYMOUTH	MI	Active
DSH230053DDC	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PLYMOUTH 2 - PAIN CLINIC	40777 ANN ARBOR RD E	PLYMOUTH	MI	Active
DSH230053DDD	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PLYMOUTH 2 - ANESTHESIOLOGY	40777 ANN ARBOR RD	PLYMOUTH	MI	Active
DSH230053DDE	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD CANCER PAVILION - MAMMOGRAPHY	2800 W GRAND BLVD	DETROIT	MI	Active
DSH230053DDF	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PLYMOUTH 2 - MAMMOGRAPHY	40777 ANN ARBOR RD E	PLYMOUTH	MI	Active
DSH230053DDG	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER LAKESIDE - RECOVERY ROOM	14500 HALL RD	STERLING HGTS	MI	Active
DSH230053DDH	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER FAIRLANE - RECOVERY ROOM	19401 HUBBARD DR	DEARBORN	MI	Active
DSH230053DDJ	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PLYMOUTH 2 - AUDIOLOGY	40777 ANN ARBOR RD E	PLYMOUTH	MI	Active
DSH230053DDK	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PLYMOUTH 2 - OTOLARYNGOLOGY	40777 ANN ARBOR RD E	PLYMOUTH	MI	Active
DSH230053DDL	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD CANCER PAVILION - ULTRASOUND	2800 W GRAND BLVD	DETROIT	MI	Active
DSH230053DDM	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PLYMOUTH 2 - ULTRASOUND	40777 ANN ARBOR RD E	PLYMOUTH	MI	Active
DSH230053DDN	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PLYMOUTH 2 - MRI	40777 ANN ARBOR RD E	PLYMOUTH	MI	Active
DSH230053DDP	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PLYMOUTH 2 - EMERGENCY MEDICINE	40777 ANN ARBOR RD E	PLYMOUTH	MI	Active
DSH230053DDQ	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER DETROIT - NON-INVASIVE CARDIOLOGY	6525 SECOND AVE	DETROIT	MI	Active
DSH230053DDR	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PLYMOUTH 2 - DERMATOLOGY	40777 ANN ARBOR RD E	PLYMOUTH	MI	Active
DSH230053DDS	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PLYMOUTH 2 - NEUROLOGY	40777 ANN ARBOR RD E	PLYMOUTH	MI	Active
DSH230053DDT	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PLYMOUTH 2 - RADIOLOGY	40777 ANN ARBOR RD E	PLYMOUTH	MI	Active
DSH230053DDU	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PLYMOUTH - PHYSICAL THERAPY	14300 BECK RD	PLYMOUTH	MI	Active
DSH230053DDV	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER MACOMB - UROLOGY	16151 19 MILE ROAD	CLINTON TOWNSHIP	MI	Active
DSH230053DDW	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PLYMOUTH - RECOVERY ROOM	40777 ANN ARBOR ROAD	PLYMOUTH	MI	Active
DSH230053DDX	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER BLOOMFIELD TOWNSHIP - LIVER TRANSPLANT	1961 SOUTH TELEGRAPH ROAD	BLOOMFIELD TOWNSHIP	MI	Active
DSH230053DDY	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER LINDEN HURLEY - KIDNEY TRANSPLANT	1125 SOUTH LINDEN ROAD	FLINT	MI	Active
DSH230053DDZ	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - PEDIATRIC GASTROENTEROLOGY	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053DE	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center New Center One Internal Medicine	3031 West Grand Boulevard	Detroit	MI	Terminated
DSH230053DF	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center New Center One Radiology	3031 West Grand Boulevard, 8th Floor	Detroit	MI	Active
DSH230053DG	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center New Center One Pathology	3031 West Grand Boulevard, 8th Floor	Detroit	MI	Active
DSH230053DH	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center New Center One Dermatology	3031 West Grand Boulevard	Detroit	MI	Active
DSH230053DJ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center New Center One Maternal Fetal Medicine	3031 West Grand Boulevard	Detroit	MI	Active
DSH230053DM	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Novi Pathology	40000 W. Eight Mile Road	Livonia	MI	Terminated
DSH230053DN	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Livonia OB/Gyn	29200 Schoolcraft Road	Livonia	MI	Active
DSH230053DP	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Livonia Pediatrics	29200 Schoolcraft Road	Livonia	MI	Active
DSH230053DQ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Livonia Anti-Coagulation	29200 Schoolcraft Road	Livonia	MI	Terminated
DSH230053DR	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Livonia Cardiology	29200 Schoolcraft Road	Livonia	MI	Active
DSH230053DS	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Livonia Internal Medicine	29200 Schoolcraft Road	Livonia	MI	Active
DSH230053DT	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Livonia Ophthalmology	29200 Schoolcraft Road	Livonia	MI	Active
DSH230053DU	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Livonia Pathology	29200 Schoolcraft Road	Livonia	MI	Active
DSH230053DV	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Livonia Cardio Non-Invasive	29200 Schoolcraft Road	Livonia	MI	Active
DSH230053DW	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Livonia Podiatry	29200 Schoolcraft Road	Livonia	MI	Active
DSH230053DX	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Livonia Radiology	29200 Schoolcraft Road	Livonia	MI	Active
DSH230053DY	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Livonia After Hours	29200 Schoolcraft Road	Livonia	MI	Terminated
DSH230053DZ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Pierson OB/Gyn	131 Kercheval Avenue, Ste 235	Grosse Pointe Farms	MI	Active
DSH230053EA	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Pierson Cardio Non-Invasive	131 Kercheval Avenue	Grosse Pointe Farms	MI	Active
DSH230053EB	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Pierson Pathology	131 Kercheval Avenue	Grosse Pointe Farms	MI	Active
DSH230053EC	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Pierson Orthopedics	131 Kercheval Avenue, Ste 210B	Grosse Pointe Farms	MI	Active
DSH230053ED	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Pierson Athletic Medicine	131 Kercheval Avenue, Ste 210B	Grosse Pointe Farms	MI	Terminated
DSH230053EE	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Cottage Colon Rectal Surgery	159 Kercheval Avenue	Grosse Pointe Farms	MI	Active
DSH230053EEA	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER GROSSE POINTE NORTH - LUNG SCREENING CLINIC	159 KERCHEVAL AVENUE	GROSSE POINTE FARMS	MI	Active
DSH230053EEB	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER BLOOMFIELD TOWNSHIP - GENERAL SURGERY	1961 SOUTH TELEGRAPH ROAD	BLOOMFIELD TOWNSHIP	MI	Active
DSH230053EEC	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER HAMTRAMCK - ABA THERAPY	9100 BROMBACH	HAMTRAMCK	MI	Active
DSH230053EED	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER LIVONIA - PHYSICAL THERAPY	29200 SCHOOLCRAFT ROAD	LIVONIA	MI	Active
DSH230053EEE	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PLYMOUTH - ENDOSCOPY	40777 ANN ARBOR ROAD	PLYMOUTH	MI	Active
DSH230053EEF	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PLYMOUTH - GASTROENTEROLOGY	40777 ANN ARBOR ROAD	PLYMOUTH	MI	Active
DSH230053EEG	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER BLOOMFIELD TOWNSHIP - HEMATOLOGY ONCOLOGY	1961 SOUTH TELEGRAPH ROAD	BLOOMFIELD TOWNSHIP	MI	Active
DSH230053EEH	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER TROY - SPORTS MEDICINE	2825 LIVERNOIS ROAD	TROY	MI	Active
DSH230053EEJ	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER WEST BLOOMFIELD - ANESTHESIA	6777 WEST MAPLE ROAD	WEST BLOOMFIELD	MI	Active
DSH230053EEK	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER MACOMB - NEUROLOGY	15855 19 MILE ROAD	CLINTON TOWNSHIP	MI	Active
DSH230053EEL	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ONE FORD PLACE - BEHAVIORAL HEALTH PERINATAL INTEGRATIVE MEDICINE	ONE FORD PLACE	DETROIT	MI	Active
DSH230053EEM	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - CARDIO NON-INVASIVE	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053EEN	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - ENDOSCOPY	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053EEP	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PLYMOUTH - BONE DENSITY	40777 ANN ARBOR ROAD	PLYMOUTH	MI	Active
DSH230053EEQ	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER LINDEN HURLEY - HEART TRANSPLANT	1125 SOUTH LINDEN ROAD	FLINT	MI	Active
DSH230053EER	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD CANCER PAVILION - MOHS SURGERY	2800 WEST GRAND BOULEVARD	DETROIT	MI	Active
DSH230053EES	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER WEST BLOOMFIELD - GASTROENTEROLOGY	6777 WEST MAPLE ROAD	WEST BLOOMFIELD	MI	Active
DSH230053EET	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PLYMOUTH - ENDOCRINOLOGY	40777 ANN ARBOR ROAD	PLYMOUTH	MI	Active
DSH230053EEU	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER LIVONIA - OCCUPATIONAL THERAPY	29200 SCHOOLCRAFT ROAD	LIVONIA	MI	Active
DSH230053EEV	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER MACOMB - BARIATRIC SURGERY	16151 19 MILE ROAD	CLINTON TOWNSHIP	MI	Active
DSH230053EEW	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER COLUMBUS - FAMILY MEDICINE	39450 WEST 12 MILE ROAD	NOVI	MI	Active
DSH230053EEX	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER COLUMBUS - ENDOSCOPY	39450 WEST 12 MILE ROAD	NOVI	MI	Active
DSH230053EEY	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD CANCER PAVILION - CLINICAL TRIALS	2800 WEST GRAND BOULEVARD	DETROIT	MI	Active
DSH230053EEZ	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - SPEECH PATHOLOGY	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053EF	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Pierson General Surgery	131 Kercheval Avenue	Grosse Pointe Farms	MI	Terminated
DSH230053EG	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Pierson Plastic Reconstructive Surgery	131 Kercheval Avenue, Ste 303	Grosse Pointe Farms	MI	Active
DSH230053EH	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Pierson Anti-Coagulation	131 Kercheval Avenue	Grosse Pointe Farms	MI	Terminated
DSH230053EJ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Pierson Cardiovascular Medicine	131 Kercheval Avenue, Ste 225	Grosse Pointe Farms	MI	Active
DSH230053EK	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Pierson Gastroenterology	131 Kercheval Avenue	Grosse Pointe Farms	MI	Terminated
DSH230053EL	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Pierson Nephrology	131 Kercheval Avenue, Ste 235	Grosse Pointe Farms	MI	Active
DSH230053EM	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Pierson Pulmonary Medicine	131 Kercheval Avenue	Grosse Pointe Farms	MI	Terminated
DSH230053EN	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Pierson Internal Medicine	131 Kercheval Avenue, Ste 210A	Grosse Pointe Farms	MI	Active
DSH230053EP	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Pierson Family Medicine	131 Kercheval Avenue, Ste 210	Grosse Pointe Farms	MI	Terminated
DSH230053EQ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Southfield Internal Medicine	22777 W. Eleven Mile Road	Southfield	MI	Terminated
DSH230053ER	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Southfield Family Practice	22777 W. Eleven Mile Road	Southfield	MI	Terminated
DSH230053ES	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Southfield OB/Gyn	22777 W. Eleven Mile Road	Southfield	MI	Terminated
DSH230053ET	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Southfield Pediatrics	22777 W. Eleven Mile Road	Southfield	MI	Terminated
DSH230053EU	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center East Jefferson Pediatrics	24725 East Jefferson Ave.	St. Clair Shores	MI	Terminated
DSH230053EV	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center East Jefferson Pathology	24725 East Jefferson Ave.	St. Clair Shores	MI	Active
DSH230053EW	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center East Jefferson Podiatry	24725 East Jefferson Ave.	St. Clair Shores	MI	Active
DSH230053EX	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center East Jefferson Anti-Coagulation	24725 East Jefferson Ave.	St. Clair Shores	MI	Terminated
DSH230053EY	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center East Jefferson Family Practice	24725 East Jefferson Ave.	St. Clair Shores	MI	Active
DSH230053FB	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Hamtramck OB/Gyn	9100 Brombach	Hamtramck	MI	Active
DSH230053FC	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Hamtramck Physical Therapy	9100 Brombach	Hamtramck	MI	Terminated
DSH230053FE	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Hamtramck Wound Care	9100 Brombach	Hamtramck	MI	Active
DSH230053FF	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Hamtramck Family Practice	9100 Brombach	Hamtramck	MI	Active
DSH230053FFA	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER LINDEN HURLEY - LIVER TRANSPLANT	1125 SOUTH LINDEN ROAD	FLINT	MI	Active
DSH230053FFB	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD DP PERFORMANCE CENTER - PREVENTIVE CARDIOLOGY	690 AMSTERDAM STREET	DETROIT	MI	Active
DSH230053FFC	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER FARMINGTON ROAD - FAMILY MEDICINE	6530 FARMINGTON ROAD	WEST BLOOMFIELD	MI	Active
DSH230053FFD	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER BLOOMFIELD TOWNSHIP - BREAST CANCER SURGERY	1961 SOUTH TELEGRAPH ROAD	BLOOMFIELD TOWNSHIP	MI	Active
DSH230053FFE	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PLYMOUTH - GENERAL SURGERY	40777 ANN ARBOR ROAD	PLYMOUTH	MI	Active
DSH230053FFF	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER FAIRLANE - ENDOSCOPY	19401 HUBBARD DRIVE	DEARBORN	MI	Active
DSH230053FFG	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PLYMOUTH - OPERATING ROOM	40777 ANN ARBOR ROAD	PLYMOUTH	MI	Active
DSH230053FFH	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD CANCER PAVILION - DENTISTRY	2800 WEST GRAND BOULEVARD	DETROIT	MI	Active
DSH230053FFJ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Bloomfield Hills - Ophthalmology	1961 S Telegraph	Bloomfield Township	MI	Active
DSH230053FFK	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Bloomfield Hills - Hepatology	1961 S Telegraph	Bloomfield Township	MI	Active
DSH230053FFL	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Templin - Women's Health	2070 Biddle Ave	Wyandotte	MI	Active
DSH230053FFM	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Rochester Hills - Reproductive Medicine	3920 Rochester Rd	Rochester Hills	MI	Active
DSH230053FG	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane OB/Gyn	19401 Hubbard Drive	Dearborn	MI	Terminated
DSH230053FH	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Urogynecology	19401 Hubbard Drive	Dearborn	MI	Terminated
DSH230053FJ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Pediatrics	19401 Hubbard Drive	Dearborn	MI	Terminated
DSH230053FK	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Dermatology	19401 Hubbard Drive	Dearborn	MI	Terminated
DSH230053FM	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Athletic Medicine	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053FP	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Cardio Non-Invasive	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053FQ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Otolaryngology	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053FR	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Orthopedics	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053FS	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Podiatry	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053FT	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Colon and Rectal Surgery	19401 Hubbard Drive, Ste 207	Dearborn	MI	Active
DSH230053FU	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane General Surgery	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053FV	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Plastic Reconstructive Surgery	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053FW	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Urology	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053FX	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Allergy	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053FY	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Cardiovascular Medicine	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053FZ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Gastroenterology	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053GA	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Nephrology	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053GB	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Oncology	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053GC	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Pulmonary	19401 Hubbard Drive	Dearborn	MI	Terminated
DSH230053GE	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Ford Road Internal Medicine	5500 AUTO CLUB DRIVE	Dearborn	MI	Active
DSH230053GF	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Internal Medicine 2	19401 Hubbard Drive	Dearborn	MI	Terminated
DSH230053GG	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Internal Medicine 3	19401 Hubbard Drive	Dearborn	MI	Terminated
DSH230053GH	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Pathology	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053GJ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Ambulatory Surgery	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053GK	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Anesthesiology	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053GL	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Radiology	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053GM	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Emergency Medicine	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053GN	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Sterling Heights Pediatrics	3500 Fifteen Mile Road	Sterling Heights	MI	Active
DSH230053GP	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Sterling Heights Ophthalmology	3500 Fifteen Mile Road	Sterling Heights	MI	Terminated
DSH230053GQ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Sterling Heights Cardio Non-Invasive	3500 Fifteen Mile Road	Sterling Heights	MI	Active
DSH230053GR	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Sterling Heights Orthopedics	3500 Fifteen Mile Road	Sterling Heights	MI	Terminated
DSH230053GS	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Sterling Heights Podiatry	3500 Fifteen Mile Road	Sterling Heights	MI	Active
DSH230053GT	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Sterling Heights Allergy	3500 Fifteen Mile Road	Sterling Heights	MI	Active
DSH230053GU	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Sterling Heights Anti-Coagulation	3500 Fifteen Mile Road	Sterling Heights	MI	Terminated
DSH230053GV	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Sterling Heights Cardiology	3500 Fifteen Mile Road	Sterling Heights	MI	Active
DSH230053GW	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Sterling Heights Pulmonary	3500 Fifteen Mile Road	Sterling Heights	MI	Active
DSH230053GX	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Sterling Heights Rheumatology	3500 Fifteen Mile Road	Sterling Heights	MI	Terminated
DSH230053GY	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Sterling Heights Internal Medicine	3500 Fifteen Mile Road	Sterling Heights	MI	Active
DSH230053GZ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Sterling Heights Pathology	3500 Fifteen Mile Road	Sterling Heights	MI	Active
DSH230053HA	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Sterling Heights Radiology	3500 15 Mile Road	Sterling Heights	MI	Active
DSH230053HB	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Sterling Heights Emergency Medicine	3500 Fifteen Mile Road	Sterling Heights	MI	Active
DSH230053HC	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside OB/Gyn	14500 Hall Road	Sterling Heights	MI	Terminated
DSH230053HD	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside Pediatrics	14500 Hall Road	Sterling Heights	MI	Active
DSH230053HE	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside Ophthalmology	44987 Schoenherr Road	Sterling Heights	MI	Active
DSH230053HF	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside Athletic Medicine	14500 Hall Road	Sterling Heights	MI	Active
DSH230053HG	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside Otolaryngology	14500 Hall Road	Sterling Heights	MI	Active
DSH230053HH	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside Orthopedics	14500 Hall Road	Sterling Heights	MI	Active
DSH230053HJ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside Podiatry	14500 Hall Road	Sterling Heights	MI	Active
DSH230053HK	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside General Surgery	14500 Hall Road	Sterling Heights	MI	Active
DSH230053HL	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside Plastic and Reconstructive Surgery	14500 Hall Road	Sterling Heights	MI	Active
DSH230053HM	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside Urology	14500 Hall Road	Sterling Heights	MI	Active
DSH230053HN	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside Gastroenterology	14500 Hall Road	Sterling Heights	MI	Active
DSH230053HP	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside Internal Medicine	14500 Hall Road	Sterling Heights	MI	Active
DSH230053HQ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside Ambulatory Surgery	14500 Hall Road	Sterling Heights	MI	Active
DSH230053HR	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside Anesthesiology	14500 Hall Road	Sterling Heights	MI	Active
DSH230053HS	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside Radiology	14500 Hall Road	Sterling Heights	MI	Active
DSH230053HT	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside Pathology	14500 Hall Road	Sterling Heights	MI	Active
DSH230053HU	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside Colon and Rectal	14500 Hall Road	Sterling Heights	MI	Active
DSH230053HV	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Taylor OB/Gyn	24555 Haig Road	Taylor	MI	Terminated
DSH230053HW	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Taylor Urogynecology	24555 Haig Road	Taylor	MI	Terminated
DSH230053HX	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Taylor Pediatrics	24555 Haig Road	Taylor	MI	Active
DSH230053HY	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Taylor Dermatology	24555 Haig Road	Taylor	MI	Active
DSH230053HZ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Taylor Ophthalmology	24555 Haig Road	Taylor	MI	Terminated
DSH230053JA	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Taylor General Surgery	24555 Haig Road	Taylor	MI	Terminated
DSH230053JB	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Taylor Neurology	24555 Haig Road	Taylor	MI	Active
DSH230053JC	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Taylor Anti-Coagulation	24555 Haig Road	Taylor	MI	Terminated
DSH230053JD	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Taylor Cardiovascular Medicine	24555 Haig Road	Taylor	MI	Terminated
DSH230053JE	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Taylor Gastroenterology	24555 Haig Road	Taylor	MI	Active
DSH230053JF	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Taylor Nephrology	24555 Haig Road	Taylor	MI	Active
DSH230053JG	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Taylor Pulmonary	24555 Haig Road	Taylor	MI	Active
DSH230053JH	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Taylor Rheumatology	24555 Haig Road	Taylor	MI	Active
DSH230053JJ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Taylor Internal Medicine	24555 Haig Road	Taylor	MI	Active
DSH230053JK	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Taylor Radiology	24555 Haig Road	Taylor	MI	Active
DSH230053JL	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Taylor Pathology	24555 Haig Road	Taylor	MI	Active
DSH230053JM	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Troy Pathology	2825 Livernois	Troy	MI	Active
DSH230053JN	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Troy Neurosurgery Associates	2825 Livernois	Troy	MI	Terminated
DSH230053JP	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Troy Neurology	2825 Livernois	Troy	MI	Active
DSH230053JQ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Troy Family Practice	2825 Livernois	Troy	MI	Active
DSH230053JR	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Troy Dermatology	2825 Livernois	Troy	MI	Active
DSH230053JS	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Troy Ophthalmology	2825 Livernois	Troy	MI	Terminated
DSH230053JT	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Troy OB/Gyn	2825 Livernois	Troy	MI	Terminated
DSH230053JU	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Troy Ophthalmology	735 John R Road	Troy	MI	Active
DSH230053JV	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Farmington Road Pathology	6530 Farmington Road	West Bloomfield	MI	Active
DSH230053JW	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Farmington Road Internal Medicine	6530 Farmington Road	West Bloomfield	MI	Terminated
DSH230053JX	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Farmington Road Dermatology	6530 Farmington Road, Ste 101	West Bloomfield	MI	Active
DSH230053JY	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Farmington Road Ophthalmology	6530 Farmington Road	West Bloomfield	MI	Terminated
DSH230053JZ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Farmington Road Pediatrics	6530 Farmington Road	West Bloomfield	MI	Active
DSH230053KB	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Woodhaven Orthopaedics	22505 Allen Road	Woodhaven	MI	Terminated
DSH230053KC	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Woodhaven Podiatry	22505 Allen Road	Woodhaven	MI	Active
DSH230053KD	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Woodhaven Internal Medicine	22505 Allen Road	Woodhaven	MI	Active
DSH230053KE	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Woodhaven Pediatrics	22505 Allen Road	Woodhaven	MI	Terminated
DSH230053KF	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Woodhaven Family Practice	22505 Allen Road	Woodhaven	MI	Active
DSH230053KH	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Plymouth Pathology	14300 Beck Road	Plymouth	MI	Active
DSH230053KJ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Plymouth Athletic Medicine	14300 Beck Road	Plymouth	MI	Terminated
DSH230053KL	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Plymouth Internal Medicine	14300 Beck Road	Plymouth	MI	Active
DSH230053KM	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Plymouth Family Practice	14300 Beck Road	Plymouth	MI	Active
DSH230053KN	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Plymouth OB/Gyn	14300 Beck Road	Plymouth	MI	Terminated
DSH230053KP	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Plymouth Pediatrics	14300 Beck Road	Plymouth	MI	Active
DSH230053KQ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Plymouth Dermatology	14300 Beck Road	Plymouth	MI	Terminated
DSH230053KR	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Royal Oak Primary Care	110 EAST 2ND STREET	ROYAL OAK	MI	Terminated
DSH230053KS	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Royal Oak Family Practice	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053KT	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Royal Oak Internal Medicine	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053KU	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Royal Oak OB/Gyn	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053KV	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Royal Oak Pediatrics	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053KY	Child	DSH	HENRY FORD HOSPITAL	Josephine Ford Downriver Center for Oncology	19675 Allen Road	Brownstown Township	MI	Active
DSH230053KZ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center for Athletic Medicine	6525 Second Ave.	Detroit	MI	Active
DSH230053LA	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Westland Ophthalmology	35184 Central City Parkway	Westland	MI	Active
DSH230053LB	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Troy Neurosurgery Associates Oakland	2825 Livernois	Troy	MI	Terminated
DSH230053LC	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Wyandotte Neurosurgery	2333 Biddle Road	Wyandotte	MI	Active
DSH230053LD	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Warren Family Practice	8600 Chicago Road South	Warren	MI	Active
DSH230053LE	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Warren Pediatrics	8600 Chicago Road South	Warren	MI	Terminated
DSH230053LF	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Canton OB/Gyn	6100 Haggerty Road	Canton	MI	Terminated
DSH230053LH	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Brownstown Athletic Medicine	23050 West Road	Brownstown	MI	Terminated
DSH230053LL	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Wyandotte Gynecologic Oncology	3333 Biddle Road	Wyandotte	MI	Active
DSH230053LM	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Commerce Twp Radiology	8391 Commerce Road	Commerce Township	MI	Active
DSH230053LN	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Commerce Twp Pathology	8391 Commerce Road	Commerce Township	MI	Active
DSH230053LP	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Commerce Twp Internal Medicine	8391 Commerce Road, Ste 108	Commerce Township	MI	Terminated
DSH230053LQ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Commerce Twp Family Medicine	8391 Commerce Road, Ste 108	Commerce Township	MI	Active
DSH230053LR	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Commerce Twp After Hours	8391 Commerce Road	Commerce Township	MI	Terminated
DSH230053LU	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Cottage Plastic Surgery	159 Kercheval Avenue	Grosse Pointe Farms	MI	Terminated
DSH230053LW	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Pierson Wound Care	131 Kercheval Avenue, Ste 330	Grosse Pointe Farms	MI	Active
DSH230053LX	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Pierson Reproductive Medicine	131 Kercheval Avenue	Grosse Pointe Farms	MI	Terminated
DSH230053LZ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Dearborn Ford Road Dermatology	5500 Auto Club Drive	Dearborn	MI	Active
DSH230053MA	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Dearborn Ford Road Ophthalmology	5500 Auto Club Drive	Dearborn	MI	Terminated
DSH230053MC	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Dearborn Ford Road Pediatrics	5500 Auto Club Drive, Suite #160	Dearborn	MI	Active
DSH230053MD	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Dearborn Ford Road After Hours	5500 Auto Club Drive	Dearborn	MI	Terminated
DSH230053MG	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Clinical Decision Treatment Unit	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053MH	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Maternal Fetal Medicine	19401 Hubbard Drive	Dearborn	MI	Terminated
DSH230053MJ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Harbortown Radiology	3370 East Jefferson Ave.	Detroit	MI	Active
DSH230053MM	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Warren Physical Therapy	3601 East 11 Mile Road	Warren	MI	Terminated
DSH230053MN	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Bloomfield Hills Pathology	1961 South Telegraph Road	Bloomfield Township	MI	Active
DSH230053MP	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Bloomfield Hills Internal Medicine	1961 South Telegraph Road	Bloomfield Township	MI	Active
DSH230053MQ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Bloomfield Hills Family Practice	1961 South Telegraph Road	Bloomfield Township	MI	Active
DSH230053MS	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside Gynecological Oncology	14500 Hall Road	Sterling Heights	MI	Active
DSH230053MT	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center One Ford Place Psychiatry	One Ford Place	Detroit	MI	Active
DSH230053MU	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Detroit Northwest Geriatric Medicine	7800 W. Outer Drive	Detroit	MI	Active
DSH230053MW	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Cottage Anesthesia Pain	159 Kercheval Avenue	Grosse Pointe Farms	MI	Terminated
DSH230053MX	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Cottage Radiology	159 Kercheval Avenue	Grosse Pointe Farms	MI	Active
DSH230053MY	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Cottage Physical Therapy	159 Kercheval Avenue	Grosse Pointe Farms	MI	Active
DSH230053MZ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Cottage Partial Hospitalization	159 Kercheval Avenue	Grosse Pointe Farms	MI	Active
DSH230053NA	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Rapid Treatment - Macomb	15855 19 Mile Rd	Clinton Township	MI	Active
DSH230053NB	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Cottage Emergency Medicine	159 Kercheval Avenue	Grosse Pointe Farms	MI	Active
DSH230053NC	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Cottage C.T. Scan	159 Kercheval Avenue	Grosse Pointe Farms	MI	Active
DSH230053ND	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Cottage Diagnostic Radiology	159 Kercheval Avenue	Grosse Pointe Farms	MI	Terminated
DSH230053NE	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Cottage Sleep Center	159 Kercheval Avenue	Grosse Pointe Farms	MI	Active
DSH230053NF	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus Anesthesia Pain	39450 12 Mile Road, Suite 1B	Novi	MI	Active
DSH230053NG	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus Gynecological Oncology	39450 12 Mile Road	Novi	MI	Terminated
DSH230053NH	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Cottage Radiation Oncology	159 Kercheval Avenue	Grosse Pointe Farms	MI	Active
DSH230053NJ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Cottage Geriatric Medicine	159 Kercheval Avenue	Grosse Pointe Farms	MI	Terminated
DSH230053PA	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Dearborn Ford Road Psychiatry	5500 Auto Club Drive	Dearborn	MI	Active
DSH230053PB	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Dearborn Ford Road Neuropsychology	5500 Auto Club Drive	Dearborn	MI	Active
DSH230053PC	Child	DSH	Henry Ford Hospital	Henry Ford Medical Center Dearborn Ford Road Chemical Dependency	5111 Auto Club Drive	Dearborn	MI	Terminated
DSH230053PD	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Psych West Wayne Peds	5500 AUTO CLUB DRIVE	DEARBORN	MI	Active
DSH230053PE	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Clinton Township Behavioral Health (NE Peds)	15420 19 Mile Road	Clinton Township	MI	Active
DSH230053PF	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Clinton Oaks Psychiatry	15420 19 Mile Road	Clinton Township	MI	Active
DSH230053PG	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Clinton Oaks Neuropsychology	15420 19 Mile Road	Clinton Township	MI	Active
DSH230053PH	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Clinton Oaks Chemical Dependency	42633 Garfield Road	Clinton Township	MI	Terminated
DSH230053PI	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus Psychiatry	39450 12 Mile Road	Novi	MI	Active
DSH230053PJ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Novi Physical Therapy	40000 West Eight Mile Road	Northville	MI	Terminated
DSH230053PK	Child	DSH	Henry Ford Hospital	Henry Ford Medical Center Columbus Maplegrove Pain Management	39450 12 Mile Road	Novi	MI	Terminated
DSH230053PL	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Novi Family Practice	40000 West Eight Mile Road	Northville	MI	Active
DSH230053PM	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus Rheumatology	39450 12 Mile Road	Novi	MI	Active
DSH230053PN	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus Psych NW	39450 12 Mile Road	Novi	MI	Active
DSH230053PO	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Hematology Oncology – Atrium Macomb	43630 Hayes Rd, Suite 200	Clinton Township	MI	Active
DSH230053PP	Child	DSH	Henry Ford Hospital	Henry Ford Medical Center Sterling Heights Depression Care	3500 15 Mile Road	Sterling Heights	MI	Terminated
DSH230053PQ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Sterling Heights Pediatrics Northeast Weekend	3500 15 Mile Road	Sterling Heights	MI	Terminated
DSH230053PR	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Sterling Heights Diagnostic Radiology	3500 15 Mile Road	Sterling Heights	MI	Terminated
DSH230053PS	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center New Center One Physical Therapy	3031 West Grand Boulevard	Detroit	MI	Terminated
DSH230053PT	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center New Center One Gynecologic Oncology	3031 West Grand Boulevard	Detroit	MI	Terminated
DSH230053PU	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Livonia Vision Rehab	29200 Schoolcraft Road	Livonia	MI	Active
DSH230053PV	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Livonia Diagnostic Radiology	29200 Schoolcraft Road	Livonia	MI	Terminated
DSH230053PW	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Troy Psych North Peds	2825 Livernois Road	Troy	MI	Active
DSH230053PX	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Troy Behavioral Health	2825 Livernois Road	Troy	MI	Active
DSH230053PY	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Troy Diagnostic Radiology	2825 Livernois Road	Troy	MI	Active
DSH230053PZ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Wyandotte General Surgery	2333 Biddle	Wyandotte	MI	Active
DSH230053QA	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Wyandotte Cardiovascular Medicine	2333 Biddle	Wyandotte	MI	Active
DSH230053QB	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center East Jefferson Radiology	24725 Jefferson Avenue	St. Clair Shores	MI	Active
DSH230053QC	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center East Jefferson Internal Medicine	24725 Jefferson Avenue	St. Clair Shores	MI	Terminated
DSH230053QD	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Taylor Diagnostic Radiology	24555 Haig Road	Taylor	MI	Terminated
DSH230053QE	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Wyandotte Thoracic Surgery	2333 Biddle	Wyandotte	MI	Active
DSH230053QF	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Brownstown Allergy	23050 West Road	Brownstown Township	MI	Active
DSH230053QG	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Southfield Physical Therapy	22777 West 11 Mile Road	Southfield	MI	Terminated
DSH230053QH	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Southfield Pathology	22777 West 11 Mile Road	Southfield	MI	Terminated
DSH230053QJ	Child	DSH	Henry Ford Hospital	Henry Ford Medical Center Woodhaven After Hours Care	22505 Allen Road	Woodhaven	MI	Terminated
DSH230053QK	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Ford Field Emergency Services	2000 Brush Street #200	Detroit	MI	Terminated
DSH230053QL	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Dearborn Ford Road Women's Health	5500 Auto Club Drive	Dearborn	MI	Active
DSH230053QM	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Dearborn Ford Road Ultrasound	5500 Auto Club Drive	Dearborn	MI	Active
DSH230053QN	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Dearborn Ford Road Rehab Physical Therapy	5500 Auto Club Drive	Dearborn	MI	Active
DSH230053QO	Child	DSH	Henry Ford Hospital	Henry Ford Medical Center Fairlane Rehab Athletic Medicine	19401 Hubbard Drive	Dearborn	MI	Terminated
DSH230053QP	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Dearborn Ford Road Radiology	5500 Auto Club Drive	Dearborn	MI	Active
DSH230053QQ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Dearborn Ford Road Pathology	5500 Auto Club Drive	Dearborn	MI	Active
DSH230053QR	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Dearborn Ford Road Ophthalmology	5500 Auto Club Drive, Suite 130	Dearborn	MI	Active
DSH230053QS	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Nuclear Cardiology	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053QT	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Breast Imaging Center	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053QU	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane After Hours	19401 Hubbard Drive	Dearborn	MI	Terminated
DSH230053QV	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Cottage Oncology	159 Kercheval	Grosse Pointe Farms	MI	Active
DSH230053QW	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Pierson Pediatrics	131 Kercheval, Lower Level 10	Grosse Pointe Farms	MI	Active
DSH230053QX	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Pediatric Hospitalists Macomb	15855 19 Mile Rd	Clinton Township	MI	Terminated
DSH230053QY	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Hematology Oncology – Macomb	15855 19 Mile Rd	Clinton Township	MI	Active
DSH230053QZ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside Diagnostic Radiology	14500 Hall Road	Sterling Heights	MI	Terminated
DSH230053RA	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Cottage Cardiovascular Medicine	159 Kercheval	Grosse Pointe Farms	MI	Active
DSH230053RB	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Cottage Women's Diagnostic	159 Kercheval	Grosse Pointe Farms	MI	Terminated
DSH230053RC	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Vision Rehab	131 Kercheval	Grosse Pointe Farms	MI	Active
DSH230053RD	Child	DSH	Henry Ford Hospital	Henry Ford Medical Center Cottage Pulmonary Rehab	159 Kercheval	Grosse Pointe Farms	MI	Terminated
DSH230053RE	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Cottage Operating Room	159 Kercheval	Grosse Pointe Farms	MI	Active
DSH230053RF	Child	DSH	Henry Ford Hospital	Henry Ford Medical Center Cottage Nuclear Medicine	159 Kercheval	Grosse Pointe Farms	MI	Terminated
DSH230053RG	Child	DSH	Henry Ford Hospital	Henry Ford Medical Center Cottage Cardiac Rehab	159 Kercheval	Grosse Pointe Farms	MI	Terminated
DSH230053RH	Child	DSH	Henry Ford Hospital	Henry Ford Medical Center Cottage Cardiac Non-Invasive	159 Kercheval	Grosse Pointe Farms	MI	Terminated
DSH230053RI	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Cottage Anesthesiology	159 Kercheval	Grosse Pointe Farms	MI	Active
DSH230053RJ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Cottage Anatomic Pathology	159 Kercheval	Grosse Pointe Farms	MI	Terminated
DSH230053RK	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Vascular Lab	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053RL	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Surgery	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053RM	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Ophthalmology	19401 Hubbard Drive	Dearborn	MI	Terminated
DSH230053RN	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Bloomfield Hills Walk-In	1961 South Telegraph Road	Bloomfield Township	MI	Active
DSH230053RP	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Farmington Internal Medicine	6530 Farmington Road	West Bloomfield	MI	Active
DSH230053RQ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Sterling Heights Sleep Center	3500 15 Mile Road	Sterling Heights	MI	Active
DSH230053RR	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Harbortown Occupational Health	3370 East Jefferson	Detroit	MI	Terminated
DSH230053RS	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lowell Park Rehab	44800 Delco Boulevard	Sterling Heights	MI	Active
DSH230053RT	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Harbortown Family Medicine	3370 East Jefferson	Detroit	MI	Active
DSH230053RU	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Psych Urban Peds	One Ford Place	Detroit	MI	Active
DSH230053RV	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Hamtramck Visiting Physicians	9100 Brombach Street	Hamtramck	MI	Active
DSH230053RW	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Detroit Northwest Physical Therapy	7800 West Outer Drive	Detroit	MI	Active
DSH230053RX	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Allen Park Physical Therapy	7445 Allen Road, Suite 102	Allen Park	MI	Active
DSH230053RY	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Allen Park Rehab Neurology	7445 Allen Road, Suite 102	Allen Park	MI	Terminated
DSH230053RZ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Canton Women's Health	6100 North Haggerty Road	Canton	MI	Terminated
DSH230053SA	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Pediatrics Macomb	15855 19 Mile Rd	Clinton Township	MI	Terminated
DSH230053SB	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Adult OP Prof (Maplegrove DIOP Program)	6773 West Maple Road	West Bloomfield	MI	Active
DSH230053SC	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Mercy Monroe Neurosurgery	730 North Macomb St. Professional Building, Ste 300	Monroe	MI	Terminated
DSH230053SD	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center New Center One Allergy	3031 West Grand Blvd, 8th Floor	Detroit	MI	Active
DSH230053SE	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Dearborn Ford Road Maternal Fetal Medicine	5500 Auto Club Drive	Dearborn	MI	Active
DSH230053SF	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Pierson Otolaryngology	131 Kercheval	Grosse Pointe Farms	MI	Active
DSH230053SG	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center New Center One Sleep Medicine	3031 West Grand Blvd	Detroit	MI	Active
DSH230053SH	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Troy Orthopedics	2825 Livernois Road	Troy	MI	Active
DSH230053SJ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Dearborn Ford Road Urogynecology	5500 Auto Club Drive	Dearborn	MI	Active
DSH230053SK	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Sterling Heights After Hours	3500 Fifteen Mile Road	Sterling Heights	MI	Terminated
DSH230053SL	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Same Day Clinic	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053SM	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Maplegrove OP Adolescent	6773 West Maple Road	West Bloomfield	MI	Active
DSH230053SN	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Pierson Podiatry	131 Kercheval Ave, Ste 210B	Grosse Pointe Farms	MI	Active
DSH230053SP	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Pierson Urogynecology	131 Kercheval	Grosse Pointe Farms	MI	Active
DSH230053SQ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center West Bloomfield Consult-Liaison Psychiatry	6777 West Maple Road	West Bloomfield	MI	Terminated
DSH230053SR	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center West Bloomfield Athletic Medicine	6777 West Maple Road	West Bloomfield	MI	Terminated
DSH230053SS	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center West Bloomfield Allergy	6777 West Maple Road	West Bloomfield	MI	Terminated
DSH230053ST	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center West Bloomfield Endocrinology	6777 West Maple Road	West Bloomfield	MI	Terminated
DSH230053SU	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Diagnostic Radiology	19401 Hubbard Drive	Dearborn	MI	Terminated
DSH230053SV	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Cottage Ultrasound	159 Kercheval Ave	Grosse Pointe Farms	MI	Active
DSH230053SW	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center West Bloomfield / Ophthalmology	7230 Orchard Lake Rd	West Bloomfield	MI	Active
DSH230053SX	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center West Bloomfield / Anti-Coagulation Clinic	6777 West Maple Road	West Bloomfield	MI	Terminated
DSH230053SY	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Ford Road / Anesthesia Pain	5500 Auto Club Dr.	Dearborn	MI	Active
DSH230053SZ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center New Center One Occupational Therapy	3031 West Grand Blvd	Detroit	MI	Terminated
DSH230053TA	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Occupational Therapy	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053TB	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside Occupational Therapy	14500 Hall Road	Sterling Heights	MI	Active
DSH230053TC	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Cottage Occupational Therapy	159 Kercheval	Grosse Pointe Farms	MI	Active
DSH230053TD	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Detroit Northwest Occupational Therapy	7800 West Outer Drive	Detroit	MI	Active
DSH230053TE	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Allen Park Occupational Therapy	7445 ALLEN ROAD, #102	ALLEN PARK	MI	Active
DSH230053TF	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Taylor Ancillary Testing	24555 Haig Road	Taylor	MI	Terminated
DSH230053TG	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center One Ford Place Neuropsychology	One Ford Place	Detroit	MI	Active
DSH230053TH	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane Audiology	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053TJ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus Neurology	39450 12 Mile Road	Novi	MI	Active
DSH230053TK	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Sterling Heights Same Day Clinic	3500 Fifteen Mile Road	Sterling Heights	MI	Active
DSH230053TL	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside Rheumatology	14500 Hall Road, Suite 204	Sterling Heights	MI	Active
DSH230053TM	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Cottage Same Day Clinic	159 Kercheval	Grosse Pointe Farms	MI	Active
DSH230053TN	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Detroit Northwest Same Day Clinic	7800 West Outer Drive	Detroit	MI	Active
DSH230053TP	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus Anesthesiology	39450 12 Mile Road	Novi	MI	Active
DSH230053TQ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Ford Road / Reproductive Medicine	5500 Auto Club Drive	Dearborn	MI	Terminated
DSH230053TR	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER / Cottage Center for Autism	159 KERCHEVAL AVE	GROSSE POINTE FARMS	MI	Terminated
DSH230053TS	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER / Pierson Geriatrics Medicine	131 KERCHEVAL AVE, Ste 210A	GROSSE POINTE FARMS	MI	Active
DSH230053TT	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Canton / Gastroenterology	6100 North Haggerty Road	Canton	MI	Terminated
DSH230053TU	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Macomb / Cardiac Surgery	15855 19 Mile Road	Clinton Township	MI	Active
DSH230053TV	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Brownstown / Sleep Medicine	23050 West Road	Brownstown	MI	Active
DSH230053TW	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER FAIRLANE / Vascular Surgery	19401 HUBBARD DRIVE	DEARBORN	MI	Active
DSH230053TX	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER / Pierson Audiology	131 KERCHEVAL AVE, Ste 350	GROSSE POINTE FARMS	MI	Active
DSH230053TY	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside / Audiology	14500 Hall Road	Sterling Heights	MI	Active
DSH230053TZ	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER / Columbus Walk In Clinic	39450 12 MILE ROAD	NOVI	MI	Active
DSH230053UA	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER / Sterling Heights Vascular Lab	3500 15 MILE ROAD	STERLING HEIGHTS	MI	Active
DSH230053UB	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER / Pierson Anesthesia Pain	131 KERCHEVAL AVE, Suite 99	GROSSE POINTE FARMS	MI	Active
DSH230053UC	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Techtown / Cytogenetics Lab	440 Burroughs St	Detroit	MI	Active
DSH230053UD	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER / Wyandotte Cardio Non-Invasive Lab	2333 BIDDLE	WYANDOTTE	MI	Active
DSH230053UE	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center / Capital Park Quick Care	45 Grand River	Detroit	MI	Terminated
DSH230053UF	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Southfield / Ophthalmology	29350 Southfield Road	Southfield	MI	Active
DSH230053UG	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Downriver / Ophthalmology	22395 Eureka Road	Taylor	MI	Active
DSH230053UJ	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER / Cottage Recovery Room	159 KERCHEVAL AVE	GROSSE POINTE FARMS	MI	Active
DSH230053UK	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER / Pierson Dermatology	131 KERCHEVAL AVE, SUITE 210B	GROSSE POINTE FARMS	MI	Active
DSH230053UL	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER / Columbus Infectious Disease	39450 12 MILE ROAD	NOVI	MI	Active
DSH230053UM	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Macomb / Sleep Medicine	15945 19 Mile Road, Ste 105B	Clinton Township	MI	Active
DSH230053UN	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Taylor / Sleep Medicine	24555 Haig St	Taylor	MI	Active
DSH230053UP	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Troy / Pediatrics	2825 Livernois Road	Troy	MI	Active
DSH230053UQ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Clinton Township / Ophthalmology	33100 Gratiot Ave	Clinton Township	MI	Active
DSH230053UR	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Taylor / Ambulatory Intensive Care Unit	24555 Haig St	Taylor	MI	Active
DSH230053US	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Troy / Gastroenterology	2825 Livernois Road	Troy	MI	Terminated
DSH230053UT	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Macomb / Neurosurgery	50505 Schoenherr Rd, Ste 200	Shelby Township	MI	Terminated
DSH230053UV	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Macomb / Bariatric Surgery	15855 19 Mile Road	Clinton Township	MI	Active
DSH230053UW	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane / Vascular Vein	19401 Hubbard Drive	Dearborn	MI	Active
DSH230053UX	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Wyandotte / Vascular Surgery	2333 Biddle Road	Wyandotte	MI	Active
DSH230053UY	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Wyandotte / Bariatric Surgery	2333 Biddle Road	Wyandotte	MI	Active
DSH230053UZ	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - PATHOLOGY	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053VA	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER WATERFORD - RADIOLOGY	6620 HIGHLAND ROAD	WATERFORD	MI	Terminated
DSH230053VB	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER - VISITING PHYSICIANS	ONE FORD PLACE, SUITE 2E	DETROIT	MI	Terminated
DSH230053VC	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER LAKESIDE - HEARING AID	14500 HALL ROAD	STERLING HEIGHTS	MI	Terminated
DSH230053VD	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER SOUTHFIELD - AUTISM	22777 W. ELEVEN MILE ROAD	SOUTHFIELD	MI	Terminated
DSH230053VE	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER COTTAGE - SPEECH PATHOLOGY	159 KERCHEVAL AVE	GROSSE POINTE FARMS	MI	Active
DSH230053VF	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER HAMTRAMCK - PEDIATRICS	9100 BROMBACH	HAMTRAMCK	MI	Active
DSH230053VG	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER TROY - UROGYNECOLOGY	2825 LIVERNOIS	TROY	MI	Active
DSH230053VH	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER DETROIT NORTHWEST - COMPREHENSIVE CARE	7800 WEST OUTER DRIVE	Detroit	MI	Active
DSH230053VJ	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER DETROIT - PHYSICAL THERAPY	6525 SECOND AVE	DETROIT	MI	Active
DSH230053VK	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER LAKESIDE - NEUROSURGERY	14500 HALL ROAD	STERLING HEIGHTS	MI	Active
DSH230053VL	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER WATERFORD - PATHOLOGY	6620 HIGHLAND ROAD	WATERFORD	MI	Terminated
DSH230053VM	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER PIERSON - HEARING AID	131 KERCHEVAL AVE	GROSSE POINTE FARMS	MI	Terminated
DSH230053VN	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER MILFORD - PATHOLOGY	1265 NORTH MILFORD ROAD	MILFORD	MI	Terminated
DSH230053VP	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER SOUTHFIELD - SPEECH PATHOLOGY	22777 W. ELEVEN MILE ROAD	SOUTHFIELD	MI	Terminated
DSH230053VQ	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER UOP - GASTROENTEROLOGY	18800 HUBBARD DRIVE	DEARBORN	MI	Terminated
DSH230053VR	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER PLYMOUTH - RADIOLOGY	14300 BECK ROAD	PLYMOUTH	MI	Active
DSH230053VS	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PIERSON - RADIOLOGY	131 KERCHEVAL AVE, SUITE 210B	GROSSE POINTE FARMS	MI	Active
DSH230053VT	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER TROY - SPEECH PATHOLOGY	2825 LIVERNOIS	TROY	MI	Active
DSH230053VU	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ONE FORD PLACE - PSYCHIATRY CONSULT LIAISON	ONE FORD PLACE	DETROIT	MI	Active
DSH230053VV	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PIERSON - COLON RECTAL SURGERY	131 KERCHEVAL AVE	GROSSE POINTE FARMS	MI	Terminated
DSH230053VW	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER EAST JEFFERSON - SPORTS MEDICINE	24725 EAST JEFFERSON AVE	ST. CLAIR SHORES	MI	Terminated
DSH230053VX	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER CANTON - RADIOLOGY	6100 HAGGERTY ROAD	CANTON	MI	Terminated
DSH230053VY	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER FORD ROAD - SPEECH PATHOLOGY	5500 AUTO CLUB DRIVE	DEARBORN	MI	Active
DSH230053VZ	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER ALLEN PARK - SPEECH PATHOLOGY	7445 ALLEN ROAD, #102	ALLEN PARK	MI	Active
DSH230053WA	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER WYANDOTTE - VEIN CLINIC	2333 BIDDLE AVE, SUITE 1A500	WYANDOTTE	MI	Active
DSH230053WB	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER COTTAGE - GENERAL LABORATORY	159 KERCHEVAL AVE	GROSSE POINTE FARMS	MI	Active
DSH230053WC	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER ONE FORD PLACE - Behavioral Health and Integrated Care	ONE FORD PLACE, SUITE 1C	DETROIT	MI	Active
DSH230053WD	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER NOVI - FUNCTIONAL MEDICINE	40000 W. EIGHT MILE ROAD	NORTHVILLE	MI	Terminated
DSH230053WE	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER WATERFORD - FAMILY PRACTICE	6620 HIGHLAND ROAD, SUITE 101	WATERFORD	MI	Terminated
DSH230053WF	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER CANTON - PATHOLOGY	6100 HAGGERTY ROAD	CANTON	MI	Terminated
DSH230053WG	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER COTTAGE - VASCULAR LAB	159 KERCHEVAL AVE	GROSSE POINTE FARMS	MI	Active
DSH230053WH	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER TROY - BONE DENSITOMETRY	2825 LIVERNOIS	TROY	MI	Active
DSH230053WJ	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER MILFORD - FAMILY PRACTICE	1265 NORTH MILFORD ROAD	MILFORD	MI	Terminated
DSH230053WK	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER - PULMONARY REHAB	6525 SECOND AVE	DETROIT	MI	Active
DSH230053WL	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER PIERSON - UROLOGY	131 KERCHEVAL AVE, SUITE 235	GROSSE POINTE FARMS	MI	Terminated
DSH230053WM	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD HEALTH CENTER HAMTRAMCK - PEDIATRICS AUTISM	9100 BROMBACH	HAMTRAMCK	MI	Active
DSH230053WN	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER BLOOMFIELD HILLS - RADIOLOGY	1961 SOUTH TELEGRAPH ROAD	BLOOMFIELD TOWNSHIP	MI	Active
DSH230053WP	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER COLUMBUS - NEUROPSYCHOLOGY	39450 12 Mile Road	NOVI	MI	Active
DSH230053WQ	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER BLOOMFIELD HILLS - SPORTS MEDICINE	1961 SOUTH TELEGRAPH ROAD	BLOOMFIELD TOWNSHIP	MI	Active
DSH230053WR	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER ROYAL OAK - PHYSICAL THERAPY	110 EAST 2ND STREET	ROYAL OAK	MI	Active
DSH230053WS	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER COLUMBUS - LUNG TRANSPLANT	39450 12 Mile Road	NOVI	MI	Active
DSH230053WT	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER COMMERCE - WOMEN'S HEALTH	8391 Commerce Road, Ste 108	Commerce Township	MI	Active
DSH230053WU	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER CAPITAL PARK - WOMEN'S HEALTH	45 Grand River	Detroit	MI	Terminated
DSH230053WV	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER MACOMB - VASCULAR SURGERY	16151 19 MILE ROAD	CLINTON TOWNSHIP	MI	Terminated
DSH230053WW	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Detroit - Hematology Oncology	2800 WEST GRAND BLVD	Detroit	MI	Active
DSH230053WX	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Detroit - Breast Cancer Surgery	2800 WEST GRAND BLVD	Detroit	MI	Active
DSH230053WY	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Sterling Heights - Ultrasound	3500 Fifteen Mile Road	Sterling Heights	MI	Active
DSH230053WZ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Detroit Northwest - Ultrasound	7800 West Outer Drive	Detroit	MI	Active
DSH230053XA	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Hamtramck - Laboratory	9100 Brombach	Hamtramck	MI	Active
DSH230053XB	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Farmington - Physical Therapy	6530 Farmington Road	West Bloomfield	MI	Active
DSH230053XC	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Farmington - Occupational Therapy	6530 Farmington Road	West Bloomfield	MI	Active
DSH230053XD	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Hamtramck - Speech Pathology	9100 Brombach	Hamtramck	MI	Terminated
DSH230053XE	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside - Speech Pathology	14500 Hall Road	Sterling Heights	MI	Active
DSH230053XF	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Bloomfield Hills - Neurology	1961 South Telegraph Road	Bloomfield Township	MI	Active
DSH230053XG	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Hamtramck - Comprehensive Care	9100 Brombach	Hamtramck	MI	Active
DSH230053XH	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center New Center One - Bone Densitometry	3031 West Grand Blvd, 7th Floor	Detroit	MI	Active
DSH230053XJ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside - Bone Densitometry	14500 Hall Road	Sterling Heights	MI	Active
DSH230053XK	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Bloomfield Hills - Cardiology	1961 South Telegraph Road	Bloomfield Township	MI	Active
DSH230053XL	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Sterling Heights - PET Scan	3500 Fifteen Mile Road	Sterling Heights	MI	Active
DSH230053XM	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane - CT Scan	19401 Hubbard Dr.	Dearborn	MI	Active
DSH230053XN	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Livonia - Ultrasound	29200 Schoolcraft Rd	Livonia	MI	Active
DSH230053XP	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Ford Road - Occupational Therapy	5500 Auto Club Drive, Ste 150	Dearborn	MI	Active
DSH230053XQ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center One Ford Place - Virtual Care On-Demand	One Ford Place	Detroit	MI	Active
DSH230053XR	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside - MRI	14500 Hall Road	Sterling Heights	MI	Active
DSH230053XS	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Cottage - Mammography	159 Kercheval Ave	Grosse Pointe Farms	MI	Active
DSH230053XT	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center North Canton - Hematology Oncology	5958 North Canton Center, Ste 200	Canton	MI	Terminated
DSH230053XU	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus - Sleep Clinic	39450 12 Mile Road	Novi	MI	Active
DSH230053XV	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lake Orion - Ophthalmology	1376 South Lapeer Rd, Ste A	Lake Orion	MI	Active
DSH230053XX	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Sterling Heights - MRI	3500 Fifteen Mile Road	Sterling Heights	MI	Active
DSH230053XY	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Sterling Heights - CT Scan	3500 Fifteen Mile Road	Sterling Heights	MI	Active
DSH230053XZ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane - Ultrasound	19401 Hubbard Dr.	Dearborn	MI	Active
DSH230053YA	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Warren - Pathology	8600 Chicago Road	Warren	MI	Active
DSH230053YB	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Hamtramck - Radiology	9100 Brombach	Hamtramck	MI	Active
DSH230053YC	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center New Center One - Mammography	3031 West Grand Blvd, 8th Floor	Detroit	MI	Active
DSH230053YD	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Bloomfield Hills - Mammography	1961 South Telegraph Road	Bloomfield Township	MI	Active
DSH230053YE	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus - Ultrasound	39450 12 Mile Road	Novi	MI	Active
DSH230053YF	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Woodhaven - Pathology	22505 Allen Road	Woodhaven	MI	Active
DSH230053YG	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Bloomfield Hills - Orthopaedics	1961 South Telegraph Road	Bloomfield Township	MI	Active
DSH230053YH	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside - Vision Rehab	44987 Schoenherr Rd	Sterling Heights	MI	Active
DSH230053YJ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside - Mammography	14500 Hall Road	Sterling Heights	MI	Active
DSH230053YK	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane - Nuclear Medicine	19401 Hubbard Dr.	Dearborn	MI	Active
DSH230053YL	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane - Fluoroscopy	19401 Hubbard Dr.	Dearborn	MI	Active
DSH230053YM	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Bloomfield Hills - Physical Therapy	1961 South Telegraph Road	Bloomfield Township	MI	Active
DSH230053YN	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane - MRI	19401 Hubbard Dr.	Dearborn	MI	Active
DSH230053YP	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus - MRI	39450 12 Mile Road	Novi	MI	Active
DSH230053YQ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center New Center One - Ultrasound	3031 West Grand Blvd, 7th Floor	Detroit	MI	Active
DSH230053YR	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Macomb - Thoracic Surgery	16151 19 Mile Road, Ste 301	Clinton Township	MI	Active
DSH230053YS	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside - Neurology	14500 Hall Road	Sterling Heights	MI	Active
DSH230053YT	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Bloomfield Hills - Pediatrics	1961 South Telegraph Road	Bloomfield Township	MI	Active
DSH230053YU	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane - PET Scan	19401 Hubbard Dr.	Dearborn	MI	Active
DSH230053YV	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Livonia - Mammography	29200 Schoolcraft Rd	Livonia	MI	Active
DSH230053YW	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Detroit Northwest - Radiology	7800 West Outer Drive	Detroit	MI	Active
DSH230053YX	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Farmington - Radiology	6530 Farmington Road	West Bloomfield	MI	Active
DSH230053YY	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Capitol Park - Radiology	45 Grand River	Detroit	MI	Terminated
DSH230053YZ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center for Athletic Medicine - Neuropsychology	690 Amsterdam St.	Detroit	MI	Active
DSH230053ZA	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center HAP - Onsite Clinic	1414 East Maple Road	Troy	MI	Terminated
DSH230053ZB	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Bloomfield Hills - Sports Medicine	1961 South Telegraph Road	Bloomfield Township	MI	Active
DSH230053ZC	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Livonia - Bone Densitometry	29200 Schoolcraft Rd	Livonia	MI	Active
DSH230053ZD	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Sterling Heights - Mammography	3500 Fifteen Mile Road	Sterling Heights	MI	Active
DSH230053ZE	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Taylor - Ultrasound	24555 Haig Road	Taylor	MI	Active
DSH230053ZF	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside - Anesthesia Pain	14500 Hall Road	Sterling Heights	MI	Active
DSH230053ZG	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Woodhaven - Radiology	22505 Allen Road	Woodhaven	MI	Active
DSH230053ZH	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Dearborn - Hematology Oncology	861 Monroe St.	Dearborn	MI	Terminated
DSH230053ZJ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Fairlane - Bone Health and Fracture Prevention	19401 Hubbard Dr.	Dearborn	MI	Active
DSH230053ZK	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus - Orthopaedics Walk-In Clinic	39450 12 Mile Road	Novi	MI	Terminated
DSH230053ZL	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Southfield - Vision Rehab	29350 Southfield Road	Southfield	MI	Active
DSH230053ZM	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Detroit Northwest - Mammography	7800 West Outer Drive	Detroit	MI	Active
DSH230053ZN	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Lakeside - Ultrasound	14500 Hall Road	Sterling Heights	MI	Active
DSH230053ZP	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Columbus - Thoracic Surgery	39450 12 Mile Road	Novi	MI	Active
DSH230053ZQ	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Wyandotte - Plastic Surgery	2333 Biddle Ave	Wyandotte	MI	Active
DSH230053ZR	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Hamtramck - Endocrinology	9100 Brombach	Hamtramck	MI	Terminated
DSH230053ZS	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Woodhaven - Walk-In Clinic	22505 Allen Road	Woodhaven	MI	Active
DSH230053ZT	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Cottage - Dermatology	159 Kercheval Ave	Grosse Pointe Farms	MI	Terminated
DSH230053ZU	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Milford - Women's Health	1265 North Milford Rd	Milford	MI	Terminated
DSH230053ZV	Child	DSH	HENRY FORD HOSPITAL	Henry Ford Medical Center Bloomfield Hills - Women's Health	1961 South Telegraph Road	Bloomfield Township	MI	Active
DSH230053ZW	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER BEVERLY HILLS - PHYSICAL THERAPY	31555 Southfield Rd	Beverly Hills	MI	Active
DSH230053ZX	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER SECOND AVENUE - OCCUPATIONAL THERAPY	6525 Second Avenue	Detroit	MI	Active
DSH230053ZY	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER BLOOMFIELD TOWNSHIP - UROGYNECOLOGY	1961 South Telegraph Road	Bloomfield Township	MI	Terminated
DSH230053ZZ	Child	DSH	HENRY FORD HOSPITAL	HENRY FORD MEDICAL CENTER BLOOMFIELD TOWNSHIP - UROLOGY	1961 South Telegraph Road	Bloomfield Township	MI	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	10/1/2021 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Recertification		10/5/2020 12:00:00 AM	9/1/2021 1:26 PM
Details	State	Update	Recertification	Active	To Be Terminated	9/1/2021 1:26 PM
Terminations	Termination Date	Update	Recertification		10/1/2021 12:00:00 AM	9/1/2021 1:26 PM
Terminations	Termination Effective Date	Update	Recertification		10/16/2020 12:00:00 AM	9/1/2021 1:26 PM
Terminations	Termination Reason	Update	Recertification		Site closure	9/1/2021 1:26 PM
Medicaid Billing	NPI: State	Update	Recertification		IN	9/7/2020 12:28 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1134144801	9/7/2020 12:28 PM
Medicaid Billing	NPI: State	Insert	Recertification		MI	9/7/2020 12:28 PM
Details	Last Recertification Date	Update	Recertification	9/6/2019 1:37:09 PM	9/7/2020 12:28:07 PM	9/7/2020 12:28 PM
Details	Last Recertification Date	Update	Recertification	9/6/2018 1:26:22 PM	9/6/2019 1:37:09 PM	9/6/2019 1:37 PM
Contacts	Authorizing Official	Update	Change Request	Damschroder, Robin CFO Henry Ford Health System 3138768421	Clark, Doug SVP - Corporate Finance Henry Ford Hospital 3138745446	8/21/2019 7:39 AM
Addresses	Main Address	Update	Recertification	730 North Macomb St. Professional Building Monroe, MI 48162	730 North Macomb St. Professional Building, Ste 300 Monroe, MI 48162	9/6/2018 1:26 PM
Details	Last Recertification Date	Update	Recertification	11/16/2017 11:53:12 AM	9/6/2018 1:26:22 PM	9/6/2018 1:26 PM
Contacts	Authorizing Official	Update	Change Request	POLANSKI, JOHN CEO Henry Ford Hospital 2486421111	Damschroder, Robin CFO Henry Ford Health System 3138768421	6/26/2018 10:44 AM
Details	Entity Name	Update	Change Request	Henry Ford Hospital	HENRY FORD HOSPITAL	6/26/2018 10:44 AM
Details	Last Recertification Date	Update	Recertification	9/1/2016 12:00:00 AM	11/16/2017 11:53:12 AM	11/16/2017 11:53 AM
Contacts	Authorizing Official	Insert	AO Change Request		POLANSKI, JOHN CEO Henry Ford Hospital 2486421111	11/14/2017 12:11 PM
Contacts	Primary Contact	Update		Mansour, Alexander 340B Compliance Officer 2487230020	Mansour, Alexander 340B Compliance Officer Henry Ford Hospital 2487230020	9/19/2017 1:41 PM
Contacts	Primary Contact	Insert			Mansour, Alexander 340B Compliance Officer 2487230020	7/31/2017 7:02 PM
Addresses	Main Address	Insert			730 North Macomb St. Professional Building Monroe, MI 48162	7/27/2017 1:49 PM
Contacts	Signed By	Insert			Connelly, James CFO 3138768714	7/27/2017 1:49 PM
Details	Last Recertification Date	Update		8/27/2015 12:00:00 AM	9/1/2016 12:00:00 AM	9/1/2016 11:10 AM
Details	Last Recertification Date	Update		8/18/2014 12:00:00 AM	8/27/2015 12:00:00 AM	8/27/2015 11:24 AM
Medicaid Billing	Medicaid: Is Primary	Insert			False	8/18/2014 10:46 AM
Medicaid Billing	Medicaid: Number	Insert			1558174	8/18/2014 10:46 AM
Medicaid Billing	Medicaid: State	Insert			MI	8/18/2014 10:46 AM
Details	Last Recertification Date	Update			8/18/2014 12:00:00 AM	8/18/2014 10:46 AM
Dates	Participating Approval Date	Update			12/5/2013 12:00:00 AM	12/5/2013 3:26 PM
Details	State	Update		Pending	Active	12/5/2013 3:26 PM
Dates	Start Date	Update			1/1/2014 12:00:00 AM	12/5/2013 3:26 PM
Details	340B ID	Update		ONLINE_REG	DSH230053SC	12/4/2013 12:05 PM
Medicaid Billing	NPI: Number	Insert			1134144801	10/1/2013 2:10 PM
Details	Last Recertification Date	Insert				10/1/2013 2:10 PM
Details	Grant Number	Insert				10/1/2013 2:10 PM
Details	340B ID	Insert			ONLINE_REG	10/1/2013 2:10 PM
Details	Is Authorizing Official EHB Data	Insert				10/1/2013 2:10 PM
Dates	Last Date That 340B Drugs Purchased	Insert				10/1/2013 2:10 PM
Details	Medicare Provider Number	Insert			230053	10/1/2013 2:10 PM
Details	Entity Name	Insert			Henry Ford Hospital	10/1/2013 2:10 PM
Details	Program Code	Insert			DSH	10/1/2013 2:10 PM
Details	Entity Subname	Insert			Henry Ford Medical Center Mercy Monroe Neurosurgery	10/1/2013 2:10 PM
Dates	Participating Approval Date	Insert				10/1/2013 2:10 PM
Details	State	Insert			Pending	10/1/2013 2:10 PM
Dates	Registration Date	Insert			10/1/2013 12:00:00 AM	10/1/2013 2:10 PM
Dates	Signed By Date	Insert			10/1/2013 12:00:00 AM	10/1/2013 2:10 PM
Dates	Start Date	Insert				10/1/2013 2:10 PM
Terminations	Termination Comments	Insert				10/1/2013 2:10 PM
Terminations	Termination Date	Insert				10/1/2013 2:10 PM
Terminations	Termination Effective Date	Insert				10/1/2013 2:10 PM
Terminations	Termination Reason	Insert				10/1/2013 2:10 PM