DOWNRIVER COMMUNITY SERVICES, INC. (NPI# 1851399570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851399570 |
Entity Type | Organization |
Organization Name | DOWNRIVER COMMUNITY SERVICES, INC. |
Other Organization Name | COMMUNITY FIRST HEALTH CENTERS |
Practice Address |
555 Saint Clair River Dr Algonac MI 48001-1802 |
Mailing Address |
555 St Clair River Drive Algonac MI 48001 |
Practice Telephone | 8107944982 |
Practice Fax Number | 8107944407 |
Mailing Telephone | 8107944982 |
Mailing Fax Number | 8107944407 |
Enumeration Date | 2005-07-08 |
Last Update Date | 2017-03-03 |
Authorized Official Name | MICHAEL J BARANOWSKI (CEO) |
Authorized Official Telephone | 5867495197 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Community First Health Centers | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679571392 | Downriver Community Services, Inc. | Clinic/Center | 58144 Gratiot Avenue, New Haven, MI 48048 | 2005-07-08 |
1750757282 | Downriver Community Services, Inc. | Clinic/Center | 58144 Gratiot Ave, New Haven, MI 48048 | 2015-08-19 |
1689085268 | Downriver Community Services, Inc. | Obstetrics & Gynecology | 58144 Gratiot Ave, New Haven, MI 48048 | 2014-05-16 |
1184935488 | Downriver Community Services, Inc. | Family Medicine | 1011 Military St, Port Huron, MI 48060-5416 | 2010-07-01 |
Street Address |
555 SAINT CLAIR RIVER DR |
City | ALGONAC |
State | MI |
Zip Code | 48001-1802 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811515513 | Heath H Achatz | Social Worker | 555 Saint Clair River Dr, Algonac, MI 48001-1802 | 2020-07-09 |
1851838346 | Carrie Newby | Counselor | 555 Saint Clair River Dr, Algonac, MI 48001-1802 | 2017-01-23 |
1518318708 | Sidra Sindhu | Family Medicine | 555 Saint Clair River Dr, Algonac, MI 48001-1802 | 2016-06-29 |
1053730374 | Jason R Bortnem | Family Medicine | 555 Saint Clair River Dr, Algonac, MI 48001-1802 | 2014-04-15 |
1891091492 | Downriver Community Services Inc | Pharmacy | 555 Saint Clair River Dr, Algonac, MI 48001-1802 | 2011-01-31 |
1780882480 | Sacred Heart Rehabilitation Center, Inc | Community/Behavioral Health | 555 Saint Clair River Dr, Algonac, MI 48001-1802 | 2007-07-05 |
1720292808 | Kimberly Shephard | Social Worker | 555 Saint Clair River Dr, Algonac, MI 48001-1802 | 2007-05-09 |
1851436109 | St Clair County Community Mental Health Authority | Community/Behavioral Health | 555 Saint Clair River Dr, Algonac, MI 48001-1802 | 2007-02-21 |
1932209996 | Kristine Wargo | Counselor | 555 Saint Clair River Dr, Algonac, MI 48001-1802 | 2006-09-22 |
1992801302 | Jeff Ensroth | Counselor | 555 Saint Clair River Dr, Algonac, MI 48001-1802 | 2006-09-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346841962 | Joy Emery | Pharmacist | 1770 N Alger Road, Alma, MI 48001 | 2020-11-02 |
1932320454 | Mikelyn Burnell | Registered Nurse | 555 St Clair River Dr, Algonac, MA 48001 | 2007-05-01 |
1659411189 | Lora Lazovski | Dentist | 7213 Dyke Rd, Algonac, MI 48001 | 2007-02-07 |
1104912781 | Monica J Watson | Adult Companion | 555 St Clair River Drive, Algonac, MI 48001 | 2006-10-04 |
1992802409 | Leonard David Kasperowicz Sr. | Family Medicine | 6603 Dyke Road, Clay, MI 48001 | 2006-09-19 |
1235249244 | William James Brady Jr. | Chiropractor | 406 Pointe Tremble, Algonac, MI 48001 | 2006-08-30 |
1952322703 | Tae Hong Chung | Family Medicine | 2700 Pointe Tremble Road, Box 406, Algonac, MI 48001 | 2006-07-21 |
1063931863 | Joanna Eddy | Registered Nurse | 329 Columbia St, Algonac, MI 48001 | 2017-09-12 |
1134570344 | Stephanie Allison Boyle | Dentist | 2816 Pointe Tremble Rd, Algonac, MI 48001 | 2016-06-29 |
1457726770 | Thomas Kizy Md Pllc | Family Medicine | 329 Columbia St, Algonac, MI 48001 | 2015-12-11 |
Find all providers in zip 48001 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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.