PACKARD HEALTH INC. NPI 1841687589

NPI Information

PACKARD HEALTH, INC. is a federally qualified health center (fqhc) clinic center in Ann Arbor, MI. PACKARD HEALTH, INC. NPI is 1841687589. The provider is registered as an organization entity type.

The provider's business location address is:

1915 PAULINE BLVD
ANN ARBOR, MI
ZIP 48103-001
Phone: (734) 926-4900
Fax: (734) 926-4901

The provider's authorized official is Todd Montrief .
The authorized official title is Cfo and has the following contact phone number (734) 926-4935.

The CLIA number assigned to this NPI record is 23D2007506 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/21/2015 and was last updated on 10/5/2022.

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:

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