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HEALTH CENTERS DETROIT FOUNDATION INC. NPI 1518026541


NPI Information

NPI: 1518026541
Provider Name: HEALTH CENTERS DETROIT FOUNDATION, INC.

Doing Business As: HEALTH CENTERS DETROIT MEDICALGROUP

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 23D0369770

Address:
7633 E JEFFERSON AVE
SUITE 340
DETROIT, MI
ZIP 48214
Phone: (313) 822-9801
Get Directions

HEALTH CENTERS DETROIT FOUNDATION, INC. is a federally qualified health center (fqhc) clinic center in Detroit, MI. HEALTH CENTERS DETROIT FOUNDATION, INC. NPI is 1518026541. The provider is registered as an organization entity type.
The provider Is Doing Business As Health Centers Detroit Medicalgroup.

The provider's business location address is:

7633 E JEFFERSON AVE
SUITE 340
DETROIT, MI
ZIP 48214-730
Phone: (313) 822-9801
Fax: (313) 822-1030

The provider's authorized official is Herbert C. Smitherman .
The authorized official title is President & Ceo and has the following contact phone number (313) 966-5187.

The CLIA number assigned to this NPI record is 23D0369770 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/6/2006 and was last updated on 1/20/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)443750MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10N71990MEDICARE PINMICHIGAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.