FAMILY MEDICAL CENTER OF MICHIGAN INC NPI 1922397447

NPI Information

NPI: 1922397447
Provider Name: FAMILY MEDICAL CENTER OF MICHIGAN, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
905 N MACOMB ST
STE 3
MONROE, MI
ZIP 48162
Phone: (734) 240-4851
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FAMILY MEDICAL CENTER OF MICHIGAN, INC is a federally qualified health center (fqhc) clinic center in Monroe, MI. FAMILY MEDICAL CENTER OF MICHIGAN, INC NPI is 1922397447. The provider is registered as an organization entity type.

The provider's business location address is:

905 N MACOMB ST
STE 3
MONROE, MI
ZIP 48162-076
Phone: (734) 240-4851
Fax: (734) 240-4853

The provider's authorized official is Ed Larkins .
The authorized official title is Executive Director and has the following contact phone number (734) 850-6914.

The enumeration date for this NPI number is 4/5/2011 and was last updated on 10/9/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		MICHIGAN	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	0E86031	MEDICARE PIN	MICHIGAN
2	02214	OTHER		PARAMOUNT HEALTH CARE
3	231956	MEDICARE OSCAR/CERTIFICATION	MICHIGAN

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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