Family Medical Center Of Michigan, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Detroit, MI. Organization (NPI-2).
NPI number1447922596
StatusActive
Last updated in NPPESSep 28, 2021
Details
- NPI
- 1447922596
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Medical Center Of Michigan, INC
- Organization subpart
- No
- Enumeration date
- Sep 28, 2021
- Certification date
- Sep 28, 2021
- Last updated
- Sep 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Family Medical Center Of Michigan-Pershing High School (Doing Business As)
Practice location
18875 Ryan RdDetroit, MI 48234-1917
Phone 734-847-3802 · Fax 734-850-0520
Mailing address
8765 Lewis AveTemperance, MI 48182-9300
Phone 734-847-3802 · Fax 734-850-0520
Authorized official
Ed Larkins
Ceo
7348506914
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