COMMUNITY CARE SERVICES NPI 1609844976

NPI Information

NPI: 1609844976
Provider Name: COMMUNITY CARE SERVICES
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
26184 W OUTER DRIVE
LINCOLN PARK, MI
ZIP 48146
Phone: (313) 389-7525
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COMMUNITY CARE SERVICES is a community health clinic center in Lincoln Park, MI. COMMUNITY CARE SERVICES NPI is 1609844976. The provider is registered as an organization entity type.

The provider's business location address is:

26184 W OUTER DRIVE
LINCOLN PARK, MI
ZIP 48146
Phone: (313) 389-7525
Fax: (313) 389-7515

The provider's authorized official is William P Walsh .
The authorized official title is Executive Director and has the following contact phone number (313) 389-7525.

The enumeration date for this NPI number is 3/10/2006 and was last updated on 8/22/2020.

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	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health			Yes
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	820588	MICHIGAN	X
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	820521	MICHIGAN	X
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	820428	MICHIGAN	X

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	20709	OTHER		BCBS
2	040397	OTHER		VALUE OPTIONS
3	6842	OTHER		MIDWEST HEALTH PLAN
4	P42560	OTHER		BLUE CARE NETWORK
5	20710	OTHER		BCBS
6	207711	OTHER		BCBS
7	3119549	MEDICAID	MICHIGAN
8	6U4765	OTHER		HEALTH ALLIANCE PLAN
9	6322	OTHER		CAPE HEALTH PLAN

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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