COUNTY OF INGHAM NPI 1679130942

NPI Information

NPI: 1679130942
Provider Name: COUNTY OF INGHAM

Doing Business As: GARDNER COMMUNITY HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
333 DAHLIA DR
LANSING, MI
ZIP 48911
Phone: (517) 244-8019
Get Directions

COUNTY OF INGHAM is a federally qualified health center (fqhc) clinic center in Lansing, MI. COUNTY OF INGHAM NPI is 1679130942. The provider is registered as an organization entity type.
The provider Is Doing Business As Gardner Community Health Center.

The provider's business location address is:

333 DAHLIA DR
LANSING, MI
ZIP 48911-789
Phone: (517) 244-8019
Fax: (517) 244-7174

The provider's authorized official is Kris Drake .
The authorized official title is Dho / Ed and has the following contact phone number (517) 887-4361.

The enumeration date for this NPI number is 5/22/2019 and was last updated on 4/28/2022.

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

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	231155	OTHER	MICHIGAN	PTAN
2	0M77560	OTHER	MICHIGAN	MEDICARE PIN
3	0C36051	OTHER	MICHIGAN	MEDICARE PIN

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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