FAMILY MEDICAL CENTER OF MICHIGAN, INC (NPI# 1912259086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912259086 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICAL CENTER OF MICHIGAN, INC |
| Practice Address |
690 Riverside Ave Adrian MI 49221-1544 |
| Mailing Address |
8765 Lewis Ave Temperance MI 48182-9583 |
| Practice Telephone | 5714388162 |
| Practice Fax Number | 5714388249 |
| Mailing Telephone | 7348473802 |
| Mailing Fax Number | 7348500520 |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2013-03-25 |
| Authorized Official Name | ED LARKINS (CHIEF EXECUTIVE OFFICER) |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706993 | Family Medical Center of Michigan, Inc | Clinic/Center | 503 Washington St Rm 150, Monroe, MI 48161-1309 | 2020-09-23 |
| 1154892958 | Family Medical Center of Michigan, Inc | Clinic/Center | 2425 Tuxedo St Rm 115, Detroit, MI 48206-1222 | 2018-12-06 |
| 1437699592 | Family Medical Center of Michigan, Inc | Clinic/Center | 420 Ypsilanti St, Dundee, MI 48131-1152 | 2017-03-08 |
| 1619413986 | Family Medical Center of Michigan, Inc | Clinic/Center | 11270 Grafton Rd, Carleton, MI 48117-9392 | 2017-01-11 |
| 1467998831 | Family Medical Center of Michigan, Inc | Clinic/Center | 1135 Riverview Ave, Monroe, MI 48162-3033 | 2017-01-10 |
| 1578009932 | Family Medical Center of Michigan, Inc | Clinic/Center | 252 Deerfield Road, Deerfield, MI 49238 | 2017-01-10 |
| 1538604459 | Family Medical Center of Michigan, Inc | Clinic/Center | 788 Coomer St, Morenci, MI 49256-9501 | 2017-01-02 |
| 1134746787 | Family Medical Center of Michigan, Inc | Pharmacy | 1200 N Main St, Adrian, MI 49221-1759 | 2020-06-30 |
| 1992240816 | Family Medical Center of Michigan, Inc | Clinic/Center | 201 College Ave, Britton, MI 49229-9704 | 2017-01-02 |
| 1225422348 | Family Medical Center of Michigan, Inc | Obstetrics & Gynecology | 718 N Macomb St, Monroe, MI 48162-7815 | 2015-03-26 |
| Street Address |
690 RIVERSIDE AVE |
| City | ADRIAN |
| State | MI |
| Zip Code | 49221-1544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376797522 | Muhammad Rafiq Mian | Ophthalmology | 690 Riverside Ave, Adrian, MI 49221 | 2008-11-13 |
| 1952931172 | Spectrum Chiropractic and Health | Chiropractor | 690 Riverside Ave, Adrian, MI 49221-1544 | 2020-01-16 |
| 1164085411 | Brianna Kyle Wallace | Chiropractor | 690 Riverside Ave, Adrian, MI 49221-1544 | 2019-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285116723 | Sandra Ann Harsh | Occupational Therapist | Total Rehab, 1136 Country Club, Adrian, MI 49221 | 2018-08-31 |
| 1588156178 | Chelsea Varney | Social Worker | 1040 Winter Street, Adrian, MI 49221 | 2018-05-31 |
| 1669974127 | Nicoletta Mary Bruno | Physical Therapy Assistant | 700 Lakeshire Trail, Adrian, MI 49221 | 2018-03-01 |
| 1871011403 | Evan Splan | Pharmacist | 1200 South Main St Suite A, Adrian, MI 49221 | 2017-09-04 |
| 1780104992 | Daniel Malcolm | Specialist/Technologist | 1325 Williams St., Adrian, MI 49221 | 2017-06-20 |
| 1639602881 | Robert Gargol | Pharmacist | 1535 W Maumee, Adrian, MI 49221 | 2017-04-05 |
| 1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
| 1487025227 | Michelle Lynn Ranta | Speech-Language Pathologist | 730 Kimole Ln., Adrian, MI 49221 | 2015-10-19 |
| 1376929109 | James Hamblin | Technician, Other | 1100 South Main St. Lot 139, Adrian, MI 49221 | 2015-08-04 |
| 1316320039 | Shirley Goodlock | Community/Behavioral Health | 3091 E. Carleton Rd, Adrian, MI 49221 | 2015-06-30 |
| Find all providers in zip 49221 | ||||
| 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 |
|---|---|---|---|---|
| 1366987281 | Family Medical Center of Michigan,inc | Clinic/Center | 3498 Treat Hwy, Adrian, MI 49221-9763 | 2017-01-02 |
| 1114326170 | Family Medical Center of Mi, Inc | Clinic/Center | 1200 N Main St, Adrian, MI 49221-1759 | 2014-08-15 |
| 1831480425 | Family Medical Center of Michigan, Inc | Clinic/Center | 128 S Broad St, Adrian, MI 49221-2723 | 2011-04-29 |
| 1457640930 | Family Medical Center of Michigan, Inc | Clinic/Center | 1200 N Main St, Adrian, MI 49221-1759 | 2011-04-05 |
| 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.