INSTITUTE FOR POPULATION HEALTH INC. NPI 1174081277

NPI Information

NPI: 1174081277
Provider Name: INSTITUTE FOR POPULATION HEALTH INC.

Doing Business As: SCHOOL HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
15491 MADDELEIN ST
DETROIT, MI
ZIP 48205
Phone: (313) 309-9350
Get Directions

INSTITUTE FOR POPULATION HEALTH INC. is a federally qualified health center (fqhc) clinic center in Detroit, MI. INSTITUTE FOR POPULATION HEALTH INC. NPI is 1174081277. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As School Health Center.

The provider's business location address is:

15491 MADDELEIN ST
DETROIT, MI
ZIP 48205-596
Phone: (313) 309-9350
Fax: (313) 309-5060

The provider's authorized official is Kimberly Williamson .
The authorized official title is Revenue Manager and has the following contact phone number (313) 309-9350.

The CLIA number assigned to this NPI record is 23D0036478 - other practitioner with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/7/2019 and was last updated on 12/15/2020.

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	Primary
1	2083P0901X	Preventive Medicine	Public Health & General Preventive Medicine	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes
3	261QP2300X	Clinic/Center	Primary Care	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	231117	MEDICAID	MICHIGAN
2	71020000H28082	OTHER	MICHIGAN	BLUE CROSS

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: 11/14/2023

NPI Synchronization or Removal

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