FAMILY MEDICAL CENTER OF MI, INC (NPI# 1114326170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114326170 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICAL CENTER OF MI, INC |
| Practice Address |
1200 N Main St Adrian MI 49221-1759 |
| Mailing Address |
8765 Lewis Ave Temperance MI 48182-9583 |
| Practice Telephone | 5172631800 |
| Practice Fax Number | 5172631866 |
| Mailing Telephone | 7348473802 |
| Mailing Fax Number | 7348473418 |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-09-08 |
| Authorized Official Name | ED LARKINS (CEO) |
| 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) |
0000 | MI | Ambulatory Health Care Facilities |
| Street Address |
1200 N MAIN ST |
| City | ADRIAN |
| State | MI |
| Zip Code | 49221-1759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134746787 | Family Medical Center of Michigan, Inc | Pharmacy | 1200 N Main St, Adrian, MI 49221-1759 | 2020-06-30 |
| 1467096990 | Alexa J Anderson | Counselor | 1200 N Main St, Adrian, MI 49221-1759 | 2019-10-28 |
| 1740745363 | Kathryn Mary Pifer | Dental Hygienist | 1200 N Main St, Adrian, MI 49221-1759 | 2019-02-07 |
| 1467957225 | Allison Renee King | Social Worker | 1200 N Main St, Adrian, MI 49221-1759 | 2018-03-26 |
| 1912426982 | Debra Ann Stevenson | Physical Therapy Assistant | 1200 N Main St, Adrian, MI 49221-1759 | 2017-09-11 |
| 1922523000 | Kristina Myers | Registered Nurse | 1200 N Main St, Adrian, MI 49221-1759 | 2017-08-09 |
| 1821460445 | Erika Kiss | Nurse Practitioner | 1200 N Main St, Adrian, MI 49221-1759 | 2015-10-22 |
| 1487020939 | Melissa Saren | Psychologist | 1200 N Main St, Adrian, MI 49221-1759 | 2015-08-19 |
| 1316325129 | Christina Yancey | Family Medicine | 1200 N Main St, Adrian, MI 49221 | 2015-05-12 |
| 1457640930 | Family Medical Center of Michigan, Inc | Clinic/Center | 1200 N Main St, Adrian, MI 49221-1759 | 2011-04-05 |
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| 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 |
| 1912259086 | Family Medical Center of Michigan, Inc | Clinic/Center | 690 Riverside Ave, Adrian, MI 49221-1544 | 2012-10-12 |
| 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 |
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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.