Judah Go Global Foundation, LLC
Clinic/Center, Federally Qualified Health Center (FQHC) in Highland Park, MI. Organization (NPI-2).
NPI number1649899485
StatusActive
Last updated in NPPESApr 11, 2022
Details
- NPI
- 1649899485
- Entity type
- Organization (NPI-2)
- Legal business name
- Judah Go Global Foundation, LLC
- Organization subpart
- No
- Enumeration date
- Apr 12, 2020
- Certification date
- Apr 11, 2022
- Last updated
- Apr 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 3418M1110X | Military Transport, Military or U.S. Coast Guard Ambulance, Ground Transport | – | – | |
| 251B00000X | Case Management | – | – | |
| 251G00000X | Hospice Care, Community Based | – | – | |
| 251K00000X | Public Health or Welfare | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 261Q00000X | Clinic/Center | – | – | |
| 261QC1500X | Clinic/Center, Community Health | – | – | |
| 261QE0002X | Clinic/Center, Emergency Care | – | – | |
| 261QH0100X | Clinic/Center, Health Services | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QP2300X | Clinic/Center, Primary Care | – | – | |
| 282NR1301X | General Acute Care Hospital, Rural | – | – |
Practice location
33 Labelle St Apt 610Highland Park, MI 48203-3687
Phone 615-510-4160
Mailing address
4206 Packard St Apt 2Ann Arbor, MI 48108-1525
Phone 888-958-5640
Authorized official
Tamara Sanderfield
Chief Executive Officer
7345109972
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