CHILDRENS HEALTH CENTER NPI 1447423447

NPI Information

NPI: 1447423447
Provider Name: CHILDRENS HEALTH CENTER
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 23D0915082

Address:
10326 W WARREN AVE
DEARBORN, MI
ZIP 48126
Phone: (313) 581-2064
Get Directions

CHILDRENS HEALTH CENTER is a health service clinic center in Dearborn, MI. CHILDRENS HEALTH CENTER NPI is 1447423447. The provider is registered as an organization entity type.

The provider's business location address is:

10326 W WARREN AVE
DEARBORN, MI
ZIP 48126-659
Phone: (313) 581-2064
Fax: (313) 581-3590

The provider's authorized official is Raghda Chwikani .
The authorized official title is Medical Director and has the following contact phone number (313) 581-2064.

The CLIA number assigned to this NPI record is 23D0915082 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2008 and was last updated on 8/29/2023.

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	261QH0100X	Clinic/Center	Health Service	4301056496	MICHIGAN	Yes

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	3508255982	OTHER	MICHIGAN	BCBSM
2	700H219830	OTHER	MICHIGAN	BLUE CARE NEWWORK
3	3180397	MEDICAID	MICHIGAN

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: 4/28/2024

NPI Synchronization or Removal

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