Henry Ford Allegiance Health – Nurse Practitioner, NPI 1124052279

Henry Ford Allegiance Health is a healthcare provider. based in Detroit, Michigan. specializing in Nurse Practitioner. The NPI Number for Henry Ford Allegiance Health is 1124052279

Main info

Organization
Name
Henry Ford Allegiance Health
NPI
1124052279
Phone
(517) 841-7482
Address
PO BOX 67000
Authorized Official
MARK SMITH SVP, CMO CFO
Enumeration Date
11 July 2006
Last Update Date
6 March 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Henry Ford Allegiance Health

  • PO BOX 67000

    DEPARTMENT 272801

    DETROIT, MI 482672728

    Phone: (517) 841-7482

    Fax: (517) 841-7476

    Type: Mailing

  • 205, East Avenue, Grass Lake, Grass Lake Township, Jackson County, Michigan, 49240, United States

    JACKSON, MI 492011753

    Phone: (517) 788-4800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48267)

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Reviews

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Frequently asked questions

What federal number belongs to Henry Ford Allegiance Health?
The federal identifier for Henry Ford Allegiance Health is NPI 1124052279.
Is Henry Ford Allegiance Health's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is Henry Ford Allegiance Health?
The page reflects Nurse Practitioner for Henry Ford Allegiance Health. Clinical services aligned with this taxonomy classification.
What location shows for Henry Ford Allegiance Health?
We surface Detroit, Michigan for Henry Ford Allegiance Health based on available NPPES addresses.
What if Detroit, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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