FAMILY MEDICAL CENTER OF MICHIGANINC NPI 1023655149

NPI Information

NPI: 1023655149
Provider Name: FAMILY MEDICAL CENTER OF MICHIGAN,INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 23D2111548

Address:
901 N MACOMB ST
MONROE, MI
ZIP 48162
Phone: (734) 639-2546
Get Directions

FAMILY MEDICAL CENTER OF MICHIGAN,INC is a federally qualified health center (fqhc) clinic center in Monroe, MI. FAMILY MEDICAL CENTER OF MICHIGAN,INC NPI is 1023655149. The provider is registered as an organization entity type.

The provider's business location address is:

901 N MACOMB ST
MONROE, MI
ZIP 48162-088
Phone: (734) 639-2546
Fax: (734) 639-2552

The provider's authorized official is Ed Larkins .
The authorized official title is Ceo and has the following contact phone number (734) 850-6915.

The CLIA number assigned to this NPI record is 23D2111548 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2019 and was last updated on 12/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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