CENTER FOR FAMILY HEALTH


Address: 505 N Jackson St, Jackson, MI 49201-1266
Phone: 5177485500

CENTER FOR FAMILY HEALTH (NPI# 1700156999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700156999
Entity Type Organization
Organization Name CENTER FOR FAMILY HEALTH
Other Organization Name CENTER FOR FAMILY HEALTH NON FQHC SERVICES
Practice Address 505 N Jackson St
Jackson
MI 49201-1266
Practice Telephone 5177485500
Practice Fax Number 5177809286
Mailing Telephone 5177485500
Mailing Fax Number 5177809286
Enumeration Date 2012-01-05
Last Update Date 2012-01-05
Authorized Official Name MS. MICHELLE J MAYO (PATIENT ACCOUNT MANAGER)
Authorized Official Telephone 5177485500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers
N 1223G0001X Dentist
Specialization: General Practice
Dental Providers
N 124Q00000X Dental Hygienist Dental Providers
N 126800000X Dental Assistant Dental Providers
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
N 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians
N 208000000X Pediatrics Allopathic & Osteopathic Physicians
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers
N 363LP0200X Nurse Practitioner
Specialization: Pediatrics
Physician Assistants & Advanced Practice Nursing Providers
N 364SW0102X Clinical Nurse Specialist
Specialization: Women's Health
Physician Assistants & Advanced Practice Nursing Providers
Y 261QC1500X Clinic/Center
Specialization: Community Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE ID TYPE UNSPECIFIED 0M12180 01
BCBSM DENTAL GROUP PROV 00D8005290 01
BCBSM GROUP ID 500C807070 01
MEDICARE PART B 0N81890 01
MEDICARE OSCAR/ CERTIFICATION 231865 01
BCBS GROUP 700C810070 01

Other Provider/Organization Names

Other Name Type Code
Center for Family Health non FQHC services Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922171479 Center for Family Health Social Worker 1024 Fleming Ave, Jackson, MI 49202-2536 2006-11-15
1497825939 Center for Family Health Internal Medicine 2400 4th St, Jackson, MI 49203-4573 2006-11-09
1255724027 Center for Family Health Dentist 505 N Jackson St, Jackson, MI 49201-1266 2015-03-18
1144634775 Center for Family Health Family Medicine 240 W Carleton Rd, Hillsdale, MI 49242-5034 2014-06-11
1679905376 Center for Family Health Family Medicine 6700 Rives Junction Rd, Jackson, MI 49201-7448 2013-08-05
1124369970 Center for Family Health Family Medicine 1200 N West Ave, Jackson, MI 49202-2179 2013-03-04
1306137161 Center for Family Health Pharmacy 505 N Jackson St, Jackson, MI 49201-1266 2011-04-28
1043509557 Center for Family Health Internal Medicine 505 N Jackson St, Jackson, MI 49201-1266 2011-04-05
1366740342 Center for Family Health Social Worker 544 Wildwood Ave, Jackson, MI 49201-1013 2011-03-01
1578793816 Center for Family Health Family Medicine 165 E Plank Rd, Sycamore, IL 60178-8757 2009-07-21

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities CENTER FOR FAMILY HEALTH 505 N Jackson St, Jackson, MI 49201-1266
System for Award Management (SAM) Entities CENTER FOR FAMILY HEALTH & EDUCATION, INC. 8727 Van Nuys Blvd #101,102,103,201,203, Panorama City, CA 91402-2451
System for Award Management (SAM) Entities CENTER FOR FAMILY HEALTH RESEARCH 57 Kk 19 Avenue, Building 2, Kigali, , RWA

Office Location

Street Address 505 N JACKSON ST
City JACKSON
State MI
Zip Code 49201-1266

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457357055 Miraflor Reyes Pediatrics 505 N Jackson St, Jackson, MI 49201-1266 2005-06-28
1205441193 Alexis Roe Pharmacist 505 N Jackson St, Jackson, MI 49201-1266 2020-09-09
1760004824 Heather Rae Shoffstall Mcalvey Student in an Organized Health Care Education/Training Program 505 N Jackson St, Jackson, MI 49201-1266 2020-05-12
1003456955 Karen Lizeth Hernandez Martinez Social Worker 505 N Jackson St, Jackson, MI 49201-1266 2020-01-08
1720552078 Leon Puttler Psychologist 505 N Jackson St, Jackson, MI 49201-1266 2019-01-18
1265918924 Jenna Prater Pharmacist 505 N Jackson St, Jackson, MI 49201-1266 2018-07-16
1467938449 Jaskarandeep Singh Student in an Organized Health Care Education/Training Program 505 N Jackson St, Jackson, MI 49201-1266 2018-07-13
1215423744 Gurpinderjit Virk Student in an Organized Health Care Education/Training Program 505 N Jackson St, Jackson, MI 49201-1266 2018-07-09
1528554052 Supreet Bains Student in an Organized Health Care Education/Training Program 505 N Jackson St, Jackson, MI 49201-1266 2018-07-09
1053807578 Mahad Rayale Student in an Organized Health Care Education/Training Program 505 N Jackson St, Jackson, MI 49201-1266 2018-07-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174137863 Sally Ann Shaw Behavior Technician 3699 Miles Rd., Jackson, MI 49201 2020-09-01
1780293043 Alyn Kristin Kay Technician Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 2020-07-23
1841827946 Maverick Jubane Student in an Organized Health Care Education/Training Program Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 2020-03-26
1306486584 Cody Williams Technician, Other 1001 Laurence Avenue St E, Jackson, MI 49201 2020-01-15
1720632292 Krystie Lynn Adorjan Speech-Language Pathologist 1175 W Parnall Rd, Jackson, MI 49201 2019-08-01
1407412653 Howard Franklin Tanner II Speech-Language Pathologist 102 East Michigan Avenue, Jackson, MI 49201 2019-05-14
1356863740 Rima Zarar Qayyum Speech-Language Pathologist 4800 Firethorn Dr., Jackson, MI 49201 2017-07-07
1306384383 Briana Nesmith Speech-Language Pathologist 2025 Ann Arbor Road, Jackson, MI 49201 2017-02-09
1255878062 W.a. Foote Memorial Hospital, Inc Otolaryngology 205 N.east Ave, Jackson, MI 49201 2017-01-31
1306212881 Aisha Henderson Social Worker 729 West Michigan Avenue, Jackson, MI 49201 2015-08-19
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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033455852 Global Treatment Clinic of Jackson LLC Clinic/Center 2460 Terry Rd, Suite 800, Jackson, MS 39204-5767 2012-12-26
1164652962 The Steets Corporation Clinic/Center 3566 N Highland Ave, Suite A, Jackson, TN 38305-7890 2009-07-15
1568628980 Mall Services, LLC Clinic/Center 2050 Martin Luther King Jr Dr, Jackson, MS 39203-1030 2008-08-05
1841456472 Mall Services, LLC Clinic/Center 1066 Wiggins Road, Jackson, MS 39209 2008-08-04
1295727287 Mact Health Board, Inc. Clinic/Center 12140/12150 New York Ranch Rd, Jackson, CA 95642-9407 2005-08-17
1396929907 Neighborhood Medical Services, LLC Clinic/Center 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 2007-12-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093365835 Sacred Heart Rehabilitation Center Clinic/Center 22256 Marine Ave, Eastpointe, MI 48021-2634 2019-09-13
1124677265 Sacred Heart Rehabilitation Center Clinic/Center 23099 David Ave, Eastpointe, MI 48021-1826 2019-09-11
1699324731 Sacred Heart Rehabilitation Center Clinic/Center 1504 E Greig Ave, Madison Heights, MI 48071-3826 2019-09-11
1851958706 William Beaumont Hospital Clinic/Center 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 2019-05-28
1376100479 William Beaumont Hospital Clinic/Center 26901 Beaumont Blvd, D - 5, Community Health, Southfield, MI 48033-3849 2019-05-23
1396302857 William Beaumont Hospital Clinic/Center Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 2019-05-21
1700442597 Botsford General Hospital Clinic/Center 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 2019-05-16
1013410596 Our Wellness Hub Clinic/Center 17401 E 10 Mile Rd, Eastpointe, MI 48021-1256 2018-03-12
1235648700 Sacred Heart Rehabilitation Center Clinic/Center 329 Butternut St, Benton Harbor, MI 49022-2922 2017-09-27
1326427162 Holistic Healer & Wellness Center Inc Clinic/Center 3998 Clippert St, Dearborn Hts, MI 48125-2731 2015-05-27
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Competitor

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City JACKSON
Zip Code 49201

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Dataset Information

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.

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