Health Centers Detroit Foundation, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Southfield, MI. Organization (NPI-2).
NPI number1386705804
StatusActive
Last updated in NPPESJan 20, 2012
Details
- NPI
- 1386705804
- Entity type
- Organization (NPI-2)
- Legal business name
- Health Centers Detroit Foundation, INC.
- Organization subpart
- No
- Enumeration date
- Dec 12, 2006
- Last updated
- Jan 20, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Health Centers Detroit Medical Group (Doing Business As)
Practice location
23077 Greenfield Rd Ste 489Southfield, MI 48075-3740
Phone 248-423-3900 · Fax 248-423-8169
Mailing address
23077 Greenfield Rd Ste 489Southfield, MI 48075-3740
Phone 248-423-3900 · Fax 248-423-8169
Authorized official
Herbert C. Smitherman
President & Ceo
3139665187
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