CENTER FOR FAMILY HEALTH NPI 1780784439

NPI Information

NPI: 1780784439
Provider Name: CENTER FOR FAMILY HEALTH
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
505 N JACKSON ST
JACKSON, MI
ZIP 49201
Phone: (517) 748-5500
Get Directions

CENTER FOR FAMILY HEALTH is a federally qualified health center (fqhc) clinic center in Jackson, MI. CENTER FOR FAMILY HEALTH NPI is 1780784439. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

505 N JACKSON ST
JACKSON, MI
ZIP 49201-266
Phone: (517) 748-5500
Fax: (517) 783-2728

The provider's authorized official is Michelle Mayo .
The authorized official title is Patient Accounts Manager and has the following contact phone number (517) 748-5500.

The enumeration date for this NPI number is 9/23/2006 and was last updated on 2/10/2022.

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 State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	MICHIGAN	No
2	363LF0000X	Nurse Practitioner	Family	MICHIGAN	No
3	363LP0200X	Nurse Practitioner	Pediatrics	MICHIGAN	No
4	364SW0102X	Clinical Nurse Specialist	Women's Health	MICHIGAN	No
5	1041C0700X	Social Worker	Clinical	MICHIGAN	No
6	207Q00000X	Family Medicine		MICHIGAN	No
7	1223G0001X	Dentist	General Practice	MICHIGAN	No
8	124Q00000X	Dental Hygienist		MICHIGAN	No
9	126800000X	Dental Assistant		MICHIGAN	No
10	207R00000X	Internal Medicine		MICHIGAN	No
11	207V00000X	Obstetrics & Gynecology		MICHIGAN	No
12	208000000X	Pediatrics		MICHIGAN	No
13	261QC1500X	Clinic/Center	Community Health	MICHIGAN	No
14	363A00000X	Physician Assistant		MICHIGAN	No
15	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	00D8005290	OTHER	MICHIGAN	BCBSM DENTAL GROUP PROV
2	700C810070	OTHER	MICHIGAN	BCBSM GROUP NUMBER
3	500C807070	OTHER	MICHIGAN	BCBSM GROUP ID

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: 5/5/2024

NPI Synchronization or Removal

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