FAMILY MEDICAL CENTER OF MICHIGAN (NPI# 1043501539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043501539 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICAL CENTER OF MICHIGAN |
| Practice Address |
130 Medical Center Dr Carleton MI 48117-9461 |
| Mailing Address |
8765 Lewis Ave Temperance MI 48182-9583 |
| Practice Telephone | 7346542169 |
| Practice Fax Number | 7346542535 |
| Mailing Telephone | 7348473802 |
| Mailing Fax Number | 7348500520 |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | MR. ED LARKINS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7348506914 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM FACILITY CODE | 18128 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689032385 | Family Medical Center of Michigan | Clinic/Center | 901 N Macomb St, Monroe, MI 48162-3088 | 2016-02-09 |
| Street Address |
130 MEDICAL CENTER DR |
| City | CARLETON |
| State | MI |
| Zip Code | 48117-9461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356349617 | Charmin Marie Kuhn | Physician Assistant | 130 Medical Center Dr, Carleton, MI 48117-9461 | 2005-07-11 |
| 1295174811 | Christine M Stanford | Dental Hygienist | 130 Medical Center Dr, Carleton, MI 48117-9461 | 2013-06-17 |
| 1114127594 | Jessica Lynne Sharon | Family Medicine | 130 Medical Center Dr, Carleton, MI 48117-9461 | 2007-07-23 |
| 1326251620 | Radhika R Chintalapally | Family Medicine | 130 Medical Center Dr, Carleton, MI 48117-9461 | 2007-05-07 |
| 1578514691 | Sangeeta Juneja | Dentist | 130 Medical Center Dr, Carleton, MI 48117-9461 | 2006-05-13 |
| 1497704142 | Regina South | Physician Assistant | 130 Medical Center Dr, Carleton, MI 48117-9461 | 2006-05-09 |
| 1699753806 | Cornelio L. Naguit | Internal Medicine | 130 Medical Center Dr, Carleton, MI 48117-9461 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942726591 | Pamela J Brain-manchester | Massage Therapist | 12975 Matthews, Carleton, MI 48117 | 2017-08-16 |
| 1568919967 | Taeisha Rivera | Counselor | 620 Walnut, Carelton, MI 48117 | 2016-09-02 |
| 1457469819 | Carleton Drugs LLC | Pharmacy | 201 Medical Center Dr, Carleton, MI 48117 | 2006-08-27 |
| 1972056208 | Charles Ritter | Licensed Practical Nurse | 11705 Telegraph Rd, Carleton, MI 48117-9089 | 2016-08-03 |
| 1295376176 | Angel Phillip Zavala | Licensed Practical Nurse | 7412 Colf Rd, Carleton, MI 48117-9136 | 2019-10-02 |
| 1790177947 | Brittainy Barnes | Licensed Practical Nurse | 12514 Harris St, Carleton, MI 48117-9159 | 2015-02-25 |
| 1275988727 | Shaundra Deweese | Registered Nurse | 14626 Grafton Rd, Carleton, MI 48117-9220 | 2016-05-03 |
| 1235507658 | Rebecca Kapolnek | Licensed Practical Nurse | 12550 Burns Rd, Carleton, MI 48117-9372 | 2015-09-02 |
| 1194876623 | Adil Sarosh | Chiropractor | 1127 Monroe St, Carleton, MI 48117-9382 | 2007-01-12 |
| 1801432638 | Family Medical Center of Michigan,inc | Clinic/Center | 11270 Grafton Rd Rm 215, Carleton, MI 48117-9392 | 2019-11-27 |
| Find all providers in zip 48117 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801432638 | Family Medical Center of Michigan,inc | Clinic/Center | 11270 Grafton Rd Rm 215, Carleton, MI 48117-9392 | 2019-11-27 |
| 1619413986 | Family Medical Center of Michigan, Inc | Clinic/Center | 11270 Grafton Rd, Carleton, MI 48117-9392 | 2017-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658244 | Hackley Community Care Center Inc | Clinic/Center | 3113 Pontaluna Rd Ste A, Fruitport, MI 49415-9600 | 2020-10-30 |
| 1760080972 | Hackley Community Care Center Inc | Clinic/Center | 1420 Madison St Ste A, Muskegon, MI 49442-5251 | 2020-10-12 |
| 1831706993 | Family Medical Center of Michigan, Inc | Clinic/Center | 503 Washington St Rm 150, Monroe, MI 48161-1309 | 2020-09-23 |
| 1326654666 | Family Medical Center of Michigan,inc | Clinic/Center | 550 E Main St Ste 1001, Hudson, MI 49247-9535 | 2020-09-22 |
| 1922613975 | Hackley Community Care Center Inc | Clinic/Center | 6245 Syers Rd Ste A, Holton, MI 49425-7557 | 2020-09-15 |
| 1700400389 | Northwest Michigan Health Services, Inc. | Clinic/Center | 300 W Broadway Ave Trlr 1, Scottville, MI 49454-1019 | 2020-05-30 |
| 1679195721 | Family Medical Center of Michigan,inc | Clinic/Center | 2740 Collingwood St Ste 100, Detroit, MI 48206-1473 | 2020-05-12 |
| 1235750571 | Great Lakes Bay Health Centers | Clinic/Center | 2300 Veterans Memorial Pkwy, Saginaw, MI 48601-1268 | 2020-04-28 |
| 1053948265 | Upper Great Lakes Family Health Center | Clinic/Center | 1414 W Fair Ave Ste 242, Marquette, MI 49855-5406 | 2020-03-26 |
| 1568096923 | Grace Health, Inc. | Clinic/Center | 825 Capital Ave Ne, Battle Creek, MI 49017-5605 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.