SOUTHERN CHRISTIAN LEADERSHIP CONFERENCE (NPI# 1720104433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720104433 |
Entity Type | Organization |
Organization Name | SOUTHERN CHRISTIAN LEADERSHIP CONFERENCE |
Practice Address |
5050 Joy Rd Detroit MI 48204-2263 |
Mailing Address |
8500 14th St Detroit MI 48206-2425 |
Practice Telephone | 3138943950 |
Practice Fax Number | 3138941729 |
Mailing Telephone | 3138943950 |
Mailing Fax Number | 3138941729 |
Enumeration Date | 2007-03-22 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. CLAUD R YOUNG (PRESIDENT) |
Authorized Official Telephone | 3138943950 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
0Q24522 | MI | Ambulatory Health Care Facilities |
Street Address |
5050 JOY RD |
City | DETROIT |
State | MI |
Zip Code | 48204-2263 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760571004 | Frank Glover | Family Medicine | 5050 Joy Rd, Detroit, MI 48204-2263 | 2006-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033763347 | Latrese Tucker | Contractor | 9600 Wyoming, Detroit, MI 48204 | 2019-07-25 |
1023477296 | Lloyd Tender Care LLC | Home Health | 8360 Alpine, Detroit, MI 48204 | 2016-02-17 |
1104132703 | Chelseas Home Care | Custodial Care Facility | 12391 Birwood, Detroit, MI 48204 | 2010-08-20 |
1407001332 | Wards Holy Management Outreach Church | Point of Service | 12410 Wyoming St Fl 2, Detroit, MI 48204 | 2008-11-19 |
1346498250 | Jamila B Boulaalam | Dentist | 9685 Gd River, Detroit, MI 48204 | 2008-09-04 |
1245427186 | Hollis Whitcliffe James | Dentist | 10241 Joy Road, Detroit, MI 48204 | 2007-09-25 |
1861510679 | Roger James Gregory | Counselor | 9605 West Grand River, Nardin Park Recovery Center, Detroit, MI 48204 | 2007-03-27 |
1558464743 | Gerald Jacob Najor | Pharmacist | 7350 Grand River, Fraser Drugs, Detroit, MI 48204 | 2006-09-06 |
1255449740 | Deborah Oliver | Dentist | 8325 Grand River, Detroit, MI 48204 | 2006-08-26 |
1427148618 | Rite- Way Hardware Inc | Pharmacy | 7350 Grand River, Detroit, MI 48204 | 2006-10-16 |
Find all providers in zip 48204 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750787784 | Halo Primary Care Pllc | Clinic/Center | 1535 E State Fair, Detroit, MI 48203-1257 | 2014-11-19 |
1770871154 | Hilal D Elia M.d., P.c | Clinic/Center | 950 E State Fair, Detroit, MI 48203-1273 | 2011-07-19 |
1417257510 | Medical Missionary Management PC | Clinic/Center | 1002 Seminole St, Detroit, MI 48214-2707 | 2010-10-25 |
1023349578 | Health Care Medical Center PC | Clinic/Center | 17141 Hayes St, Detroit, MI 48205-3559 | 2010-01-22 |
1558538132 | David O Washington Mdpc | Clinic/Center | 19251 Bretton Dr, Detroit, MI 48223-1363 | 2008-05-13 |
1356510085 | Detroit Medical Center | Clinic/Center | 4201 Saint Antoine St Ste 2e, Detroit, MI 48201-2153 | 2008-02-27 |
1992994636 | Lilian Lai Md PC | Clinic/Center | 15850 E Warren Ave, Detroit, MI 48224 | 2007-10-18 |
1124226428 | The Dr. Albert B. Cleage, Sr. Memorial Health Center | Clinic/Center | 700 Seward St, Detroit, MI 48202-2427 | 2007-07-07 |
1942357959 | Dean Clinic, P.C. | Clinic/Center | 4140 E 8 Mile Rd, Detroit, MI 48234-1014 | 2007-01-04 |
1437710563 | Kancc Medical P.l.c. | Clinic/Center | 17331 Mack Ave, Detroit, MI 48224-2250 | 2019-06-28 |
Find all providers in DETROIT |
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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.