ANCILLARY PROVIDERS - Midwest Health Plan

18 Pages·2012·0.08 MB·English

ANCILLARY PROVIDERS
Phone Legend; P - Phone: F - Fax PIN: Provider Identification Number
Ancillary Ancillary Durable Medical Equipment
Donovan Contact Lens & Planned Parenthood Mid and B & H Medical LLC
Prosthetic Co Inc South Michigan
28438 Joy Rd
Detroit, MI 48201
33612 Schoolcraft Rd Livonia, MI 48150
PIN: OAO # 016826 NPI: 1366525370
Livonia, MI 48150 PIN: OAO # 034243 NPI: 1598847832
PIN: OAO # 008275 NPI: 1013197326 Phone: P [phone] F [phone] Phone: P [phone] F [phone]
Phone: P [phone] F [phone]
23338 Woodward Ave
BEA: Beaumont Home Medical
Ferndale, MI 48220
PACE:Program of All Inclusive Equipment
PIN: NPI: 1366525370
Care of Elderly
Phone: P [phone] F [phone] 3601 W 13 Mile Rd
7800 W Outer Dr # 240 Royal Oak, MI 48073
Detroit, MI 48235 Durable Medical Equipment PIN: OAO # 021968 NPI: NPI:
PIN: NPI: 1699711101 1316036320
Phone: P [phone] F [phone] Advanced Medical Equipment Inc Phone: P [phone]
Pediatric Special Care Inc 1787 W Big Beaver Rd 44201 Dequindre Rd FL 1
Troy, MI 48084 Troy, MI 48085
17040 W 12 Mile Rd # 200 PIN: OAO # 003296 NPI: 1912083619 PIN: OAO # 021967 NPI: NPI:
1316036320
Southfield, MI 48076 Phone: P [phone] F [phone]
Phone: P [phone]
PIN: NPI: 1891745808
Phone: P [phone] F [phone] Advanced Medical Solutions Inc 30943 Woodward Ave
Royal Oak, MI 48073
Planned Parenthood Mid and 106 W Grand River Ave PIN: OAO # 012781 NPI: NPI:
Howell, MI 48843
South Michigan 1316036320
PIN: OAO # 003205 NPI: 1932105525 Phone: P [phone]
37625 Ann Arbor Rd # 107 Phone: P [phone] F [phone]
Livonia, MI 48150 15959 Hall Rd # 105
PIN: OAO # 016826 NPI: 1366525370 5059 W Grand River Rd Macomb, MI 48044
Phone: P [phone] F [phone] Fowlerville, MI 48836 PIN: OAO # 009655 NPI: NPI:
PIN: OAO # 003272 NPI: 1932105525 1316036320
3100 Professional Dr (Corporate) Phone: P [phone] F [phone] Phone: P [phone]
Ann Arbor, MI 48104
PIN: OAO # 016826 NPI: 1366525370 7575 Grand River # 105 Becker Orthopedic
Phone: P [phone] F [phone] Brighton, MI 48116
PIN: OAO # 025576 NPI: 1932105525 28801 Woodward Ave
2370 W Stadium Blvd Phone: P [phone] F [phone] Berkley, MI 48072
Ann Arbor, MI 48103 PIN: OAO # 030160 NPI: 1275536153
PIN: OAO # 016826 NPI: 1366525370 5333 McAuley Dr # 1106 Phone: P [phone] F [phone]
Phone: P [phone] F [phone] Ann Arbor, MI 48197
PIN: OAO # 025577 NPI: 1932105525 4800 Highland Rd # 1
2009 W Michigan Ave Phone: P [phone] F [phone] Waterford, MI 48328
Jackson, MI 49202 PIN: OAO # 030161 NPI: 1275536153
PIN: OAO # 016826 NPI: 1366525370 All About Women`s Health Phone: P [phone] F [phone]
Phone: P [phone] F [phone] Boutique
2799 W Grand Blvd # E-1225
840 Maus Ave 31209 Plymouth Detroit, MI 48202
Ypsilanti, MI 48198 Livonia, MI 48150 PIN: OAO # 007914 NPI: 1275536153
PIN: OAO # 016826 NPI: 1366525370 PIN: OAO # 013837 NPI: 1861421158 Phone: P [phone] F [phone]
Phone: P [phone] F [phone] Phone: P [phone] F [phone]
28817 Woodward Ave
7900 Grand River Americare Medical Supplies Inc Berkley, MI 48072
Brighton, MI 48114 PIN: OAO # 030162 NPI: 1275536153
PIN: OAO # 016826 NPI: 1366525370 5468 Schaefer Rd Phone: P [phone] F [phone]
Phone: P [phone] F [phone] Dearborn, MI 48126
PIN: OAO # 016223 NPI: 1912075748 Befitting You LLC
29350 Van Dyke Phone: P [phone] F [phone]
Warren, MI 48093 1 Williams Carl Dr
PIN: OAO # 016826 NPI: 1366525370 Commerce Township, MI 48382
Phone: P [phone] F [phone] PIN: OAO # 034761 NPI: 1316116858
Phone: P [phone] F [phone]
4229 Cass Ave
10/07/2014 Page 1 of 18
Midwest Health Plan
ANCILLARY PROVIDERS
Phone Legend; P - Phone: F - Fax PIN: Provider Identification Number
Durable Medical Equipment Durable Medical Equipment Durable Medical Equipment
Binson`s Hospital Supplies Inc Garden City Home Medical Heyden Pharmacy
Equipment LLC
30475 Woodward 20201 W 7 Mile
Royal Oak, MI 48073 6245 Inkster Rd Detroit, MI 48219
PIN: NPI: 1922001189 Garden City, MI 48135 PIN: OAO # 003187 NPI: 1619074150
Phone: P [phone] F [phone] PIN: OAO # 017262 NPI: 1881863470 Phone: P [phone] F [phone]
Phone: P [phone] F [phone]
6475 Rochester Rd HF Health Products Self Health
Troy, MI 48085 35600 Central City Pkwy # 105A
Ctr-Commerce Twp
PIN: NPI: 1922001189 Westland, MI 48185
Phone: P [phone] F [phone] PIN: OAO # 026136 NPI: 1881863470 39630 - 14 Mile Rd
Phone: P [phone] F [phone] Walled Lake, MI 48390
21571 Kelly Rd PIN: OAO # 033363 NPI: 1336449958
Eastpointe, MI 48021 Great Lakes Home Health Phone: P [phone] F [phone]
PIN: NPI: 1922001189
Services Inc-DME
Phone: P [phone] F [phone] HF Health Products Self Health
900 Cooper St
Ctr-Woodhaven
43900 Schoenherr Jackson, MI 49202
Sterling Heights, MI 48313 PIN: OAO # 032076 NPI: 1346225661 23400 Allen Rd
PIN: NPI: 1922001189 Phone: P [phone] F [phone] Woodhaven, MI 48183
Phone: P [phone] F [phone] PIN: OAO # 033364 NPI: 1598730871
Great Lakes Medical Supply Phone: P [phone] F [phone]
13450 Farmington Rd
Livonia, MI 48150 23247 Pinewood St HF Health Products-Dearborn
PIN: NPI: 1922001189 Warren, MI 48091
Phone: P [phone] F [phone] PIN: OAO # 029036 NPI: 1962460683 19401 Hubbard Dr # 100
Phone: P [phone] F [phone] Dearborn, MI 48124
26834 Lawrence PIN: OAO # 003515 NPI: 1245205525
Center Line, MI 48015 Hart Medical Equipment LLC Phone: P [phone] F [phone]
PIN: OAO # 034426 NPI: 1922001189
Phone: P [phone] F [phone] 3033 E Grand Blanc Rd HF Health Products-HF Hospital
Grand Blanc, MI 48439
Christian Health Services PIN: NPI: 1407821739 2799 W Grand Blvd WP-1102A
Phone: P [phone] F [phone] Detroit, MI 48202
107 S Broad St # 1 PIN: OAO # 024043 NPI: 1053386334
Adrian, MI 49221 Health Care Solutions at Home Phone: P [phone] F [phone]
PIN: OAO # 025027 NPI: 1457452500
Inc
Phone: P [phone] F [phone] HF Health Products-HF Macomb
25177 Dequindre Rd
Hosp at Home
Comfort Prosthetics & Orthotics Madison Heights, MI 48071
PIN: NPI: 16151 - 19 Mile Rd # 105
276 S Gratiot Phone: P [phone] F [phone] Clinton Twp, MI 48038
Mt Clemens, MI 48043 PIN: OAO # 032006 NPI: 1043476955
PIN: OAO # 023974 NPI: 1720018526 3926 Varsity Dr Phone: P [phone] F [phone]
Phone: P [phone] F [phone] Ann Arbor, MI 48108
PIN: NPI: HF Health Products-Lakeside
Elite Respiratory Services & DME Phone: P [phone] F [phone]
Inc 14500 Hall Rd
Health Smart Pharmacy Inc Sterling Hts, MI 48313
29103 Harper Ave PIN: OAO # 003519 NPI: 1821152927
St Clair Shores, MI 48081 10824 Belleville Rd Phone: P [phone] F [phone]
PIN: OAO # 013068 NPI: 1295771145 Belleville, MI 48111
Phone: P [phone] F [phone] PIN: OAO # 034211 NPI: 1942453634 HF Health Products-Livonia
Phone: P [phone] F [phone]
29200 Schoolcraft Rd # H
Healthy Living Medical Supply Livonia, MI 48150
PIN: OAO # 008044 NPI: 1780830943
1095 Crooks Rd # 400 Phone: P [phone] F [phone]
Troy, MI 48084
PIN: NPI: 1033142948
Phone: P [phone] F [phone]
10/07/2014 Page 2 of 18
Midwest Health Plan
ANCILLARY PROVIDERS
Phone Legend; P - Phone: F - Fax PIN: Provider Identification Number
Durable Medical Equipment Durable Medical Equipment Durable Medical Equipment
HF Health Products-Northwest Landra Prosthetics & Orthotics Orthomold Inc
Detroit Inc
5575 Jackson Blvd
7800 W Outer Dr # 104 14725 Northline White Lake, MI 48383
Detroit, MI 48235 Southgate, MI 48195 PIN: NPI: 1508951880
PIN: OAO # 003517 NPI: 1760457048 PIN: OAO # 025060 NPI: 1659458214 Phone: P [phone] F [phone]
Phone: P [phone] F [phone] Phone: P [phone] F [phone]
Phoenix Medical Equipment
HF Health Products-Southfield 526 N Telegraph
Monroe, MI 48162 23917 Ford Rd
21651 Melrose Ave PIN: OAO # 032846 NPI: 1659458214 Dearborn, MI 48128
Southfield, MI 48075 Phone: P [phone] F [phone] PIN: OAO # 024626 NPI: 1649331802
PIN: OAO # 003521 NPI: 1588654321 Phone: P [phone] F [phone]
Phone: P [phone] F [phone] MedSupply Corporation Inc
Phoenix Medical Supply Inc
HF Health Products-West 33333 Dequindre Rd
Bloomfield Troy, MI 48083 21767 Melrose Ave
PIN: OAO # 034754 NPI: 1609873611 Southfield, MI 48075
6777 W Maple Rd Lower Level Phone: P [phone] F [phone] PIN: OAO # 022878 NPI: 1881623627
W Bloomfield, MI 48322 Phone: P [phone] F [phone]
PIN: OAO # 003514 NPI: 1952376238 Metro Medical Equipment Inc
Phone: P [phone] F [phone] Primis Healthcare Systems Inc
38415 Schoolcraft Rd
HF Health Products-Wyandotte Livonia, MI 48150 1132 Coolidge Hwy
Hospital PIN: OAO # 021763 NPI: 1548226335 Troy, MI 48084
Phone: P [phone] F [phone] PIN: OAO # 008826 NPI: 1609809177
2333 Biddle Ave 1st Floor Main Lobby Phone: P [phone] F [phone]
Wyandotte, MI 48192 Mitchell Home Medical
PIN: OAO # 003516 NPI: 1417114992 Redemptive Medical Equipment
Phone: P [phone] F [phone] 455 E Grand River # 206 LLC
Brighton, MI 48116
Home Care of Michigan Inc PIN: OAO # 017709 NPI: 1558456301 16190 E 13 Mile Rd
Phone: P [phone] F [phone] Roseville, MI 48066
1255 Michigan St NE PIN: OAO # 034769 NPI: 1487829941
Allen Park, MI 48101 Mystic Medical Equipment Inc Phone: P [phone] F [phone]
PIN: NPI: 1801897962
Phone: P [phone] F [phone] 23660 Research Dr Regents of University of Mich
Farmington Hills, MI 48335
DME
HOMEDCO Inc dba Independence PIN: OAO # 016265 NPI: 1518098276
Home Med Equip & Supplies Phone: P [phone] F [phone] 2705 S Industrial Hwy # 300
Ann Arbor, MI 48104
6852 Allen Rd 20467 Mack Ave PIN: OAO # 025932 NPI: 1295785509
Allen Park, MI 48101 Grosse Pte Woods, MI 48236 Phone: P [phone] F [phone]
PIN: OAO # 024604 NPI: 1386850980 PIN: OAO # 024548 NPI: 1518098276
Phone: P [phone] F [phone] Phone: P [phone] F [phone] 2850 S Industrial Hwy # 200
Ann Arbor, MI 48104
J & B Medical Supply Co Inc OAK: Oakwood Home Medical PIN: OAO # 025932 NPI: 1295785509
Equipment Phone: P [phone] F [phone]
50496 W Pontiac Trail
Wixom, MI 48393 1633 Fairlane Circle # 200 Renaissance Medical Equipment
PIN: OAO # 028471 NPI: 1417941774 Allen Park, MI 48101
Phone: P [phone] F [phone] PIN: OAO # 002232 NPI: 1215938378 21300 Groesbeck Hwy
Phone: P [phone] F [phone] Warren, MI 48089
KCI USA Inc PIN: OAO # 028857 NPI: 1194728758
Orthofix Inc Phone: P [phone] F [phone]
13117 Waco Ct
Livonia, MI 48150 3451 Plano Pkwy
PIN: OAO # 016142 NPI: 1740277029 Lewisville, TX 75056
Phone: P [phone] PIN: OAO # 034762 NPI: 1235136060
Phone: P [phone] F [phone]
10/07/2014 Page 3 of 18
Midwest Health Plan
ANCILLARY PROVIDERS
Phone Legend; P - Phone: F - Fax PIN: Provider Identification Number
Durable Medical Equipment Durable Medical Equipment Durable Medical Equipment
Residential Medical Supply Visiting Therapists Inc Wright & Filippis Inc
3558 Thomas Rd 28495 Dequindre # D 2845 Crooks Rd
Oxford, MI 48371 Madison Hts, MI 48071 Rochester Hills, MI 48309
PIN: OAO # 002172 NPI: 1063480705 PIN: OAO # 024904 NPI: 1245286384 PIN: OAO # 008062 NPI: 1427058650
Phone: P [phone] F [phone] Phone: P [phone] F [phone] Phone: P [phone] F [phone]
Shan Medical Equipment 3330 Washtenaw Ave
Ann Arbor, MI 48104
35818 Dequindre PIN: OAO # 024521 NPI: 1427058650
Sterling Hts, MI 48310 Phone: P [phone] F [phone]
PIN: OAO # 006992 NPI: 1972550028
Phone: P [phone] F [phone] 5910 S Main St
Clarkston, MI 48346
8607 W Vernor PIN: OAO # 024554 NPI: 1427058650
Detroit, MI 48209 Phone: P [phone] F [phone]
PIN: OAO # 008152 NPI: 1972550028
Phone: P [phone] F [phone] 21192 Hall Rd
Clinton Twp, MI 48038
Sheldon Medical Supply PIN: OAO # 024555 NPI: 1427058650
Phone: P [phone] F [phone]
21 W Sanilac Ave
Sandusky, MI 48471 15044 Michigan Ave
PIN: OAO # 024817 NPI: 1629049820 Dearborn, MI 48126
Phone: P [phone] F [phone] PIN: OAO # 024556 NPI: 1427058650
Phone: P [phone] F [phone]
Signature Medical Equipment Ltd
4201 St Antoine University Health Center
23543 Lakepointe Dr Detroit, MI 48201
Clinton Township, MI 48036 PIN: OAO # 024558 NPI: 1427058650
PIN: OAO # 045298 NPI: 1437176112 Phone: P [phone] F [phone]
Phone: P [phone] F [phone]
261 Mack Ave Rehab Institute
Detroit, MI 48201
Sleep Solutions Inc
PIN: OAO # 024559 NPI: 1427058650
1280 E Big Beaver Rd # B Phone: P [phone] F [phone]
Troy, MI 48083
PIN: OAO # 018397 NPI: 1457353534 27678 Middlebelt Rd
Farmington Hills, MI 48334
Phone: P [phone] F [phone]
PIN: OAO # 024560 NPI: 1427058650
Solara Medical Supplies Phone: P [phone] F [phone]
35275 Plymouth 23520 Woodward Ave
Livonia, MI 48150 Ferndale, MI 48220
PIN: NPI: 1114167111 PIN: OAO # 024561 NPI: 1427058650
Phone: P [phone] F [phone] Phone: P [phone] F [phone]
G-1101 N Ballenger Hwy
Trudell Pharmacy
Flint, MI 48504
PIN: OAO # 024562 NPI: 1427058650
5711 Schaefer
Dearborn, MI 48126 Phone: P [phone] F [phone]
PIN: OAO # 003274 NPI: 1699875088
1370 N Main St
Phone: P [phone] F [phone]
Lapeer, MI 48446
PIN: OAO # 024563 NPI: 1427058650
U S Medical Equipment Inc
Phone: P [phone] F [phone]
36967 Amrhein Rd
4050 Fort St
Livonia, MI 48150
Lincoln Park, MI 48146
PIN: OAO # 007864 NPI: 1720067515
PIN: OAO # 024564 NPI: 1427058650
Phone: P [phone] F [phone]
Phone: P [phone] F [phone]
10/07/2014 Page 4 of 18
Midwest Health Plan
ANCILLARY PROVIDERS
Phone Legend; P - Phone: F - Fax PIN: Provider Identification Number
Durable Medical Equipment Hospital : Acute Care Hospital : Acute Care
Wright & Filippis Inc BEA: William Beaumont Hospital HFH: Henry Ford Hospital -
- Royal Oak Wyandotte
4146 - 24th Ave
Fort Gratiot Twp, MI 48059 3601 W 13 Mile Rd 2333 Biddle Ave
PIN: OAO # 024566 NPI: 1598779308 Royal Oak, MI 48073 Wyandotte, MI 48192
Phone: P [phone] F [phone] PIN: OAO # 007592 NPI: 1689653305 PIN: OAO # 003530 NPI: 1992725352
Phone: P [phone] F [phone] Phone: P [phone]
2638 Bond St
Rochester Hills, MI 48309 BEA: William Beaumont Hospital Port Huron Hospital
PIN: OAO # 024609 NPI: 1598779308
- Troy
Phone: P [phone] F [phone] 1221 Pine Grove Ave
44201 Dequindre Rd Port Huron, MI 48060
1100 W 13 Mile Rd Troy, MI 48085 PIN: OAO # 014525 NPI: 1982685384
Madison Hts, MI 48071 PIN: OAO # 006811 NPI: 1306825997 Phone: P [phone] F [phone]
PIN: OAO # 024557 NPI: 1598779308 Phone: P [phone]
Phone: P [phone] F [phone] SJM: Chelsea Community
Crittenton Hospital Medical Hospital
7633 E Jefferson Ave # 180
Center
Detroit, MI 48214 775 S Main
PIN: OAO # 024557 NPI: 1598779308 1101 W University Drive Chelsea, MI 48118
Phone: P [phone] F [phone] Rochester, MI 48307 PIN: OAO # 007597 NPI: 1730297078
PIN: OAO # 007593 NPI: Phone: P [phone] F [phone]
1438 E Michigan Ave Phone: P [phone] F [phone]
Lansing, MI 48912 SJM: St Joseph Mercy Hospital -
PIN: OAO # 024568 NPI: 1598779308 DHM: Doctors' Hospital of Ann Arbor
Phone: P [phone] F [phone] Michigan
5301 E Huron River Dr
23829 Little Mack Ave # 400 461 W Huron Ann Arbor, MI 48106
St Clair Shores, MI 48080 Pontiac, MI 48341 PIN: OAO # 012692 NPI: 1780658443
PIN: OAO # 032030 NPI: 1598779308 PIN: OAO # 042289 NPI: 1619125788 Phone: P [phone]
Phone: P [phone] F [phone] Phone: P [phone] F [phone]
SJM: St Joseph Mercy Hospital -
26750 Providence Pkwy # 125 Novi Orthopedic Center HFH: Henry Ford Hospital - Livingston
Novi, MI 48374
Clinton Twp
PIN: OAO # 032031 NPI: 1598779308 620 Byron Rd
Phone: P [phone] F [phone] 15855 - 19 Mile Rd Howell, MI 48843
Clinton Twp, MI 48038 PIN: OAO # 012211 NPI: 1093748642
11570 E 11 Mile Rd PIN: OAO # 007595 NPI: 1023114634 Phone: P [phone] F [phone]
Warren, MI 48089 Phone: P [phone] F [phone]
PIN: OAO # 024567 NPI: 1598779308
SJM: St Joseph Mercy Hospital -
Phone: P [phone] F [phone] HFH: Henry Ford Hospital - Main Saline
29100 Plymouth Rd 2799 W Grand Blvd 400 Russell St
Livonia, MI 48150 Detroit, MI 48202 Saline, MI 48176
PIN: OAO # 024565 NPI: 1598779308 PIN: OAO # 003529 NPI: 1134144801 PIN: OAO # 018152 NPI: 1023041670
Phone: P [phone] F [phone] Phone: P [phone] F [phone] Phone: P [phone]
Hospital : Acute Care HFH: Henry Ford Hospital - West SJM: St Mary Mercy Hospital -
Bloomfield Livonia
BEA: William Beaumont Hospital
6777 W Maple Rd 36475 Five Mile Rd
- Grosse Pointe
W Bloomfield, MI 48322 Livonia, MI 48154
468 Cadieux Rd PIN: OAO # 024155 NPI: 1407867559 PIN: OAO # 007937 NPI: 1790706901
Grosse Pointe, MI 48230 Phone: P [phone] Phone: P [phone] F [phone]
PIN: OAO # 030743 NPI: 1932396017
Phone: P [phone] UM: CS Mott Childrens Hospital
1500 E Medical Center Dr
Ann Arbor, MI 48109
PIN: OAO # 006900 NPI: 1003878539
Phone: P [phone]
10/07/2014 Page 5 of 18
Midwest Health Plan
ANCILLARY PROVIDERS
Phone Legend; P - Phone: F - Fax PIN: Provider Identification Number
Hospital : Acute Care Mental Health Services Mental Health Services
UM: University of Michigan Access Behavioral Healthcare Community Care Services
Hospitals LLC
26184 W Outer Dr
1500 E Medical Center Dr 42189 E Ann Arbor Rd Lincoln Park, MI 48146
Ann Arbor, MI 48109 Plymouth, MI 48170 PIN: OAO # 024580 NPI: 1609844976
PIN: OAO # 006900 NPI: 1003878539 PIN: OAO # 023328 NPI: 1619075942 Phone: P [phone] F [phone]
Phone: P [phone] Phone: P [phone] F [phone]
26650 Eureka # A
UM: Womens Hospital Blue Water Mental Health Taylor, MI 48180
PIN: OAO # 024581 NPI: 1609844976
Clinic-Fort Gratiot
1500 E Medical Center Dr Phone: P [phone] F [phone]
Ann Arbor, MI 48109 1501 Krafft Rd
PIN: OAO # 006900 NPI: 1003878539 Fort Gratiot, MI 48059 416 Sumpter Rd Bldg B
Phone: P [phone] PIN: OAO # 019801 NPI: 1457305419 Belleville, MI 48111
Phone: P [phone] F [phone] PIN: OAO # 006842 NPI: 1609844976
Mammogram Center Phone: P [phone] F [phone]
Blue Water Mental Health
Henry Ford Health Clinic-Lexington Development Centers Inc
Care-Mammogram Center
5590 Main St # 3 17321 Telegraph Rd
6777 W Maple Lexington, MI 48450 Detroit, MI 48219
W Bloomfield, MI 48322 PIN: OAO # 025249 NPI: 1578601522 PIN: OAO # 024951 NPI: 1326135047
PIN: OAO # 024251 NPI: Phone: P [phone] F [phone] Phone: P [phone] F [phone]
Phone: P [phone]
Blue Water Mental Health 24424 W McNichols
Detroit, MI 48219
Henry Ford Wyandotte Clinic-Roch Hills
PIN: OAO # 024951 NPI: 1326135047
Hosp-Mammogram Center
1349 S Rochester Rd # 220 Phone: P [phone] F [phone]
2333 Biddle Ave Rochester Hills, MI 48307
Wyandotte, MI 48192 PIN: OAO # 025247 NPI: 1891833810
PIN: OAO # 003530 NPI: Phone: P [phone] F [phone]
Phone: P [phone]
Blue Water Mental Health
Midwest Medical Clinic-Yale
Center-Mammography
16 S Main St
4700 Schaefer Rd Yale, MI 48450
Dearborn, MI 48126 PIN: OAO # 025248 NPI: 1467590406
PIN: OAO # 027698 NPI: Phone: P [phone] F [phone]
Phone: P [phone]
Catholic Social Services of
Washtenaw County
Mental Health Services
4925 Packard Rd
ACC: Access Community Health
Ann Arbor, MI 48108
Ctr: Beh Health PIN: OAO # 024570 NPI: 1679687339
Phone: P [phone] F [phone]
62 W 7 Mile Rd
Detroit, MI 48203-1967
Clear Choices Counseling
PIN: OAO # 034768 NPI: 1982706883
Services PC
Phone: P [phone] F [phone]
16250 Northland Dr # 238
26400 Lahser Rd # 220
Southfield, MI 48075
Southfield, MI 48033-2674
PIN: OAO # 024681 NPI: 1255343869
PIN: OAO # 034959 NPI: 1982706883
Phone: P [phone] F [phone]
Phone: P [phone] F [phone]
34628 Dequindre Rd # 3
Sterling Heights, MI 48310
PIN: OAO # 034765 NPI: 1982706883
Phone: P [phone] F [phone]
10/07/2014 Page 6 of 18
Midwest Health Plan
ANCILLARY PROVIDERS
Phone Legend; P - Phone: F - Fax PIN: Provider Identification Number
Mental Health Services Mental Health Services Mental Health Services
Eastwood Clinics HF Behavioral Health Clinton New Oakland Child-Adolescent &
Township Family Center
3950 S Rochester Rd # 1400
Rochester Hills, MI 48307 42633 Garfield # 314 42669 Garfield
PIN: OAO # 010011 NPI: 1730309964 Clinton Twp, MI 48038 Clinton Twp, MI 48038
Phone: P [phone] F [phone] PIN: OAO # 015094 NPI: 1619900396 PIN: OAO # 032919 NPI: 1609882067
Phone: P [phone] F [phone] Phone: P [phone] F [phone]
17250 Farmington Rd
Livonia, MI 48152 HF Behavioral Health Columbus 31500 Schoolcraft
PIN: OAO # 017258 NPI: 1730309964 Livonia, MI 48150
Phone: P [phone] F [phone] 39452 W 12 Mile PIN: OAO # 018113 NPI: 1609882067
Novi, MI 48377 Phone: P [phone] F [phone]
35455 Garfield Rd # C PIN: OAO # 034311 NPI: 1407889116
Clinton Twp, MI 48035 Phone: P [phone] F [phone] 6549 Town Center Dr # A
PIN: OAO # 017257 NPI: 1730309964 Clarkston, MI 48346
Phone: P [phone] F [phone] HF Dearborn Outpatient Clinic PIN: OAO # 018954 NPI: 1609882067
Phone: P [phone] F [phone]
30701 Woodward Ave # 200 5111 Auto Club Dr # 112
Royal Oak, MI 48073 Dearborn, MI 48126 26522 Van Dyke Ave
PIN: OAO # 017254 NPI: 1730309964 PIN: OAO # 015095 NPI: 1033130661 Center Line, MI 48015
Phone: P [phone] F [phone] Phone: P [phone] F [phone] PIN: OAO # 033456 NPI: 1609882067
Phone: P [phone] F [phone]
4777 E Outer Dr HF Troy Outpatient Clinic
Detroit, MI 48234 32961 Middlebelt
PIN: OAO # 017259 NPI: 1730309964 2825 Livernois Farmington Hills, MI 48334-1773
Phone: P [phone] F [phone] Troy, MI 48083 PIN: NPI: 1609882067
PIN: OAO # 024595 NPI: 1568495208 Phone: P [phone] F [phone]
132 Trumbull Phone: P [phone] F [phone]
St Clair, MI 48079 North Central Health Center
PIN: OAO # 017298 NPI: 1730309964
HF West Bloomfield Outpatient
Phone: P [phone] F [phone] 4321 E McNichols
Clinic
Detroit, MI 48212
22151 Moross Prof Bldg 1 Suite 334 St John Hospital 6777 W Maple Rd PIN: OAO # 024545 NPI: 1841204641
Detroit, MI 48236 W Bloomfield, MI 48322 Phone: P [phone] F [phone]
PIN: OAO # 008181 NPI: 1730309964 PIN: OAO # 024594 NPI: 1407889116
Phone: P [phone] F [phone] Phone: P [phone] F [phone] Northeast Guidance Center
22255 Greenfield Rd # 132 KaraLee & Associates PC 12800 E Warren Ave
Southfield, MI 48075 Detroit, MI 48215
PIN: OAO # 009695 NPI: 1730309964 1308 S Main St PIN: NPI: 1922037134
Phone: P [phone] F [phone] Plymouth, MI 48170 Phone: P [phone] F [phone]
PIN: OAO # 029721 NPI: 1497865802
45660 Schoenherr Phone: P [phone] F [phone] 20303 Kelly Rd
Shelby Twp, MI 48315 Detroit, MI 48225
PIN: OAO # 017297 NPI: 1730309964 PIN: OAO # NPI: 1922037134
Livingston County Catholic
Phone: P [phone] Phone: P [phone] F [phone]
Charities
Pathways2 2020 E Grand River Ave # 104
Howell, MI 48843
30500 Van Dyke Ave # 209 PIN: OAO # 025140 NPI: 1801904594
Warren, MI 48093
Phone: P [phone] F [phone]
PIN: NPI: 1417209057
Phone: P [phone] F [phone] Livingston County CMH Authority
HF Behavioral Health 1 Ford 2280 E Grand River
Place Howell, MI 48843
PIN: NPI:
1 Ford Place # 1E
Phone: P [phone] F [phone]
Detroit, MI 48202
PIN: OAO # 015092 NPI: 1043236300
Phone: P [phone] F [phone]
10/07/2014 Page 7 of 18
Midwest Health Plan
ANCILLARY PROVIDERS
Phone Legend; P - Phone: F - Fax PIN: Provider Identification Number
Mental Health Services Mental Health Services Urgent Care / After Hours
Oakland Family Services Southwest Counseling Solutions Apex Urgent Care PLLC
114 Orchard Lake Rd 1700 Waterman 27301 Schoenherr Rd # 106
Pontiac, MI 48341 Detroit, MI 48209 Warren, MI 48088-4730
PIN: OAO # 023659 NPI: 1598719395 PIN: OAO # 006843 NPI: 1386756153 PIN: OAO #034886 NPI: 1326367079
Phone: P [phone] F [phone] Phone: P [phone] F [phone] Phone: P [phone] F [phone]
2351 W 12 Mile Rd Starfish Family Services BEA: Beaumont Pediatric
Berkley, MI 48072
AfterHours Clinic-Royal Oak
PIN: OAO # 023659 NPI: 1598719395 30000 Hiveley
Phone: P [phone] F [phone] Inkster, MI 48141 3535 W 13 Mile Rd Ste LL
PIN: OAO # 024540 NPI: 1841338217 Royal Oak, MI 48073
130 Hampton Circle # 100 Phone: P [phone] F [phone] PIN: OAO # 010409 NPI: 1689653305
Rochester Hills, MI 48307 Phone: P [phone]
PIN: OAO # 023659 NPI: 1598719395 18316 Middlebelt
Phone: P [phone] F [phone] Livonia, MI 48152 BEA: Beaumont Pediatric
PIN: OAO # 024540 NPI: 1841338217
AfterHours Clinic-Troy
2045 W Maple Rd # D-407 Phone: P [phone] F [phone]
Walled Lake, MI 48390 44201 Dequindre Rd
PIN: OAO # 023659 NPI: 1598719395 35300 Nankin Blvd # 601 Troy, MI 48085
Phone: P [phone] F [phone] Westland, MI 48185 PIN: OAO # 024165 NPI:
PIN: NPI: 1841338217 Phone: P [phone]
POCS Mental Health PC Phone: P [phone] F [phone]
Belleville Health Care PC
34841 Veterans Plaza Tri-County Counseling Services
Wayne, MI 48184 265 Main St
PIN: NPI: 1689901993 711 W 13 Mile Rd # 100 Belleville, MI 48111
Phone: P [phone] F [phone] Madison Hts, MI 48071 PIN: OAO # 013991 NPI: 1912051004
PIN: OAO # 033926 NPI: 1225339906 Phone: P [phone] F [phone]
Professional Counseling Center Phone: P [phone] F [phone]
Bi-County Urgent Care PC
520 Superior Western Wayne Family Health
Port Huron, MI 48060 Ctr: BehH 116 W 8 Mile Rd # A
PIN: OAO # 024136 NPI: 1225049760 Hazel Park, MI 48030
Phone: P [phone] F [phone] 2500 Hamlin Ct PIN: OAO # 033414 NPI: 1184954661
Inkster, MI 48141 Phone: P [phone] F [phone]
Professional Outreach PIN: OAO # 025330 NPI: 1972530277
Counseling Services Phone: P [phone] F [phone] Bloomfield Med Center-Urgent
Care
34841 Veterans Plaza 26650 Eureka Rd # C-1
Wayne, MI 48184 Taylor, MI 48180 23900 Orchard Lake Rd # 150
PIN: NPI: 1295898385 PIN: OAO # 032596 NPI: 1972530277 Farmington Hills, MI 48336
Phone: P [phone] F [phone] Phone: P [phone] F [phone] PIN: OAO # 025203 NPI: 1265523328
Phone: P [phone] F [phone]
Renewal Christian Counseling Urgent Care / After Hours
Center Bloomfield Urgent Medical Care
A M Urgent Care PLC
24401 Capital Blvd 43141 Woodward Ave
Clinton Township, MI 48036 13031 Conant St Bloomfield Hills, MI 48302
PIN: NPI: 1548211535 Detroit, MI 48212 PIN: OAO # 034122 NPI: 1669756250
Phone: P [phone] F [phone] PIN: OAO # 024242 NPI: 1932108529 Phone: P [phone] F [phone]
Phone: P [phone] F [phone]
3899 24th Ave Brighton Urgent Care PC
Fort Gratiot, MI 48059
Ann Arbor Urgent Care
PIN: NPI: 1548211535 2300 Genoa Business Park Dr # 120
Phone: P [phone] F [phone] 1000 E Stadium Blvd Brighton, MI 48114
Ann Arbor, MI 48104 PIN: OAO # 044787 NPI: 1861791998
PIN: OAO # 025093 NPI: 1265507669 Phone: P [phone] F [phone]
Phone: P [phone] F [phone]
10/07/2014 Page 8 of 18
Midwest Health Plan
ANCILLARY PROVIDERS
Phone Legend; P - Phone: F - Fax PIN: Provider Identification Number
Urgent Care / After Hours Urgent Care / After Hours Urgent Care / After Hours
First Choice Urgent Care PC Downriver Urgent Care Health One Med Ctr-Lincoln Park
23455 Michigan Ave 15830 Fort St 3022 Dix
Dearborn, MI 48124 Southgate, MI 48195 Lincoln Park, MI 48146
PIN: NPI: 1629201264 PIN: OAO # 024054 NPI: 1144301003 PIN: OAO # 023353 NPI: 1316997422
Phone: P [phone] F [phone] Phone: P [phone] F [phone] Phone: P [phone] F [phone]
Campbell Urgent Care Dundee Urgent Care PC Healthy Urgent Care PLLC-
Livonia
1010 N Campbell Rd # 3 100 Powell Dr # 8
Royal Oak, MI 48067 Dundee, MI 48131 29531 Plymouth Rd
PIN: OAO # 043795 NPI: 1285891036 PIN: OAO # 025449 NPI: 1841472446 Livonia, MI 48150
Phone: P [phone] F [phone] Phone: P [phone] F [phone] PIN: OAO # 034780 NPI: 1578808481
Phone: P [phone] F [phone]
Canton Urgent Care PC Garden City Medical Center PC
Healthy Urgent Care PLLC-New
43033 Ford Rd 2020 Middlebelt Rd Hudson
Canton, MI 48188 Garden City, MI 48135
PIN: OAO # 024518 NPI: 1992830863 PIN: OAO # 013990 NPI: 1285781393 30488 Milford Rd
Phone: P [phone] F [phone] Phone: P [phone] F [phone] New Hudson, MI 48165
PIN: OAO # 032243 NPI: 1124266754
Child & Teen After Hour Clinic PC Plymouth Urgent Care Phone: P [phone] F [phone]
25614 Ford Rd 41424 Ann Arbor Rd Healthy Urgent Care PLLC-W
Dearborn Hts, MI 48127 Plymouth, MI 48170 Bloomfield
PIN: OAO # 013988 NPI: 1720115488 PIN: NPI: 1801227871
Phone: P [phone] F [phone] Phone: P [phone] F [phone] 7125 Orchard Lake Rd # 100
W Bloomfield, MI 48322
Choice Urgent Care of Michigan Grosse Pointe Urgent Care PC PIN: OAO # 032943 NPI: 1255606604
PC Phone: P [phone] F [phone]
20311 Mack Ave
41750 Michigan Ave # B Grosse Pte Woods, MI 48236 Hoover Urgent Care of Warren
Canton, MI 48188 PIN: OAO # 032157 NPI: 1306179627 PLC
PIN: OAO # 042481 NPI: 1801068788 Phone: P [phone] F [phone]
Phone: P [phone] F [phone] 26000 Hoover Rd
Hamtramck Medical Urgent Care Warren, MI 48089
Community Urgent Care PLLC PIN: OAO # 034781 NPI: 1821351610
9740 Conant St Phone: P [phone] F [phone]
1816 Grindley Pk Hamtramck, MI 48212
Dearborn, MI 48124 PIN: OAO # 024890 NPI: 1881973592 Hope Urgent Care Romulus PLLC
PIN: OAO # 025438 NPI: 1538502307 Phone: P [phone] F [phone]
Phone: P [phone] F [phone] 9340 Wayne Rd
Hazel Park Urgent Care PLLC Romulus, MI 48174
Dearborn Medical Group Urgent PIN: OAO # 033090 NPI: 1265754683
Care 624 E 9 Mile Rd Phone: P [phone] F [phone]
Hazel Park, MI 48030
10306 Dix Ave PIN: NPI: 1477991545 Lakeside Urgent Care PC
Dearborn, MI 48120 Phone: P [phone] F [phone]
PIN: OAO # 024895 NPI: 1376623736 44472 Hayes Rd
Phone: P [phone] F [phone] Healing Hands Urgent Care Medi Clinton Twp, MI 48038
PIN: OAO # 023735 NPI: 1720159304
Cl PC
Downriver Clinic PC-Urgent Care Phone: P [phone] F [phone]
2157 Orchard Lake Rd
8944 Macomb St Sylvan Lake, MI 48320 Madison Heights Urgent Care
Grosse Ile, MI 48138-1577 PIN: OAO # 045829 NPI: 1780988493
PIN: OAO # 042570 NPI: 1205073285 Phone: P [phone] F [phone] 31200 Dequindre Rd
Phone: P [phone] F [phone] Warren, MI 48092
PIN: NPI: 1437393386
Phone: P [phone] F [phone]
10/07/2014 Page 9 of 18
Midwest Health Plan
ANCILLARY PROVIDERS
Phone Legend; P - Phone: F - Fax PIN: Provider Identification Number
Urgent Care / After Hours Urgent Care / After Hours Urgent Care / After Hours
Manor Urgent Care 1 PC Park Urgent Care SJH: St John Urgent
Care-Riverview
10645 W Warren Ave 15101 Southfield Rd # 101
Dearborn, MI 48126 Allen Park, MI 48101 7733 E Jefferson Ave
PIN: NPI: 1295987626 PIN: OAO # 020564 NPI: 1053516617 Detroit, MI 48214
Phone: P [phone] F [phone] Phone: P [phone] F [phone] PIN: OAO # 030788 NPI: 1407066277
Phone: P [phone] F [phone]
Maple Crest Medical PLC Penn-View Medical Clinic
SJH: St John Urgent
35450 Dequindre Rd 12611 Pennsylvania Rd Care-Samaritan
Sterling Hts, MI 48310 Riverview, MI 48193
PIN: OAO # 043458 NPI: 1477783702 PIN: OAO # 024660 NPI: 1386846160 5575 Conner Ave
Phone: P [phone] F [phone] Phone: P [phone] F [phone] Detroit, MI 48215
PIN: OAO # 030788 NPI: 1083862015
Meadowbrook Urgent Care PC Priority One Urgent Care Centers Phone: P [phone] F [phone]
PLLC
33722 Woodward Ave Somerset Urgent Care
Birmingham, MI 48009 27144 Joy Rd
PIN: OAO # 043194 NPI: 1184843898 Redford Twp, MI 48239 1500 W Big Beaver # 104
Phone: P [phone] F [phone] PIN: OAO # 032127 NPI: 1629243043 Troy, MI 48084-3522
Phone: P [phone] F [phone] PIN: NPI: 1679916258
Michigan Urgent & Primary Care Phone: P [phone] F [phone]
Physicians PC Rite Med Urgent Care PLLC
Southfield City Urgent Care PC
37595 - 7 Mile Rd 769 S Wayne Rd
Livonia, MI 48152 Westland, MI 48186 23832 Southfield Rd
PIN: OAO # 023865 NPI: 1477552149 PIN: OAO # 044277 NPI: 1083933220 Southfield, MI 48075
Phone: P [phone] F [phone] Phone: P [phone] F [phone] PIN: OAO # 045328 NPI: 1811278716
Phone: P [phone] F [phone]
Midwest Medical Center-UCC Rochester Urgent Care
Southgate Urgent Care PC
4700 Schaefer Rd 215 E Auburn Rd
Dearborn, MI 48126 Rochester Hills, MI 48307 14523 Northline Rd
PIN: OAO # 001645 NPI: 1619122553 PIN: OAO # 029325 NPI: 1316018971 Southgate, MI 48195
Phone: P [phone] F [phone] Phone: P [phone] F [phone] PIN: OAO # 029561 NPI: 1902904436
Phone: P [phone] F [phone]
Monroe Urgent Care PC Roseville Urgent Care PC
Sterling Heights Urgent Care
337 Stewart Rd 20769 E 13 Mile Rd PLLC
Monroe, MI 48162 Roseville, MI 48066
PIN: OAO # 025139 NPI: 1205037603 PIN: OAO # 044546 NPI: 1811297070 37771 Schoenherr Rd # 102
Phone: P [phone] F [phone] Phone: P [phone] F [phone] Sterling Hts, MI 48312
PIN: OAO # 030875 NPI: 1043407760
Northville Urgent Care PC Shelby Urgent Care Phone: P [phone] F [phone]
47311 - 5 Mile Rd 51850 Dequindre Rd # 1 Summit Urgent Care Inc
Plymouth, MI 48170 Shelby Township, MI 48316
PIN: OAO # 032062 NPI: 1386832012 PIN: OAO # 034071 NPI: 1326320599 21844 - 23 Mile Rd
Phone: P [phone] F [phone] Phone: P [phone] F [phone] Macomb, MI 48042
PIN: OAO # 029492 NPI: 1205907870
Orbit Medical Group LLC SJH: St John Urgent Care-Connor Phone: P [phone] F [phone]
Creek
10990 Middlebelt Rd Sunrise Urgent Care
Livonia, MI 48150 4777 E Outer Dr
PIN: OAO # 034940 NPI: 1568715894 Detroit, MI 48213 34580 Dequindre Rd
Phone: P [phone] F [phone] PIN: OAO # 030788 NPI: 1407066277 Sterling Hts, MI 48310
Phone: P [phone] F [phone] PIN: OAO # 044043 NPI: 1205165859
Phone: P [phone] F [phone]
10/07/2014 Page 10 of 18
Midwest Health Plan