COMMUNITY HEALTH AND SOCIAL SERVICES CENTER INC NPI 1982694196

NPI Information

COMMUNITY HEALTH AND SOCIAL SERVICES CENTER, INC is a federally qualified health center (fqhc) clinic center in Detroit, MI. COMMUNITY HEALTH AND SOCIAL SERVICES CENTER, INC NPI is 1982694196. The provider is registered as an organization entity type.

The provider's business location address is:

5635 W FORT ST
DETROIT, MI
ZIP 48209-154
Phone: (313) 849-3920
Fax: (313) 849-0824

The provider's authorized official is Felix Mario Valbuena .
The authorized official title is Ceo and has the following contact phone number (313) 849-3920.

The CLIA number assigned to this NPI record is 23D1056538 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/27/2005 and was last updated on 11/6/2017.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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