THE WELLNESS PLAN MEDICAL CENTERS (NPI# 1114420353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114420353 |
| Entity Type | Organization |
| Organization Name | THE WELLNESS PLAN MEDICAL CENTERS |
| Other Organization Name | THE WELLNESS PLAN-KEYS GRACE CLINIC |
| Practice Address |
27321 Hampden St Rm 202 Madison Heights MI 48071-3113 |
| Mailing Address |
7700 2nd Ave Detroit MI 48202-2411 |
| Practice Telephone | 3132028660 |
| Mailing Telephone | 3132028660 |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2019-07-30 |
| Authorized Official Name | SHERRI ATWATER (COMPLIANCE AND CREDENTIALING) |
| Authorized Official Telephone | 3132028500 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE WELLNESS PLAN MEDICAL CENTERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 0M37210 | 05 |
| Other Name | Type Code |
|---|---|
| The Wellness Plan-Keys Grace Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386684033 | The Wellness Plan Medical Centers | Pharmacy | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2006-06-08 |
| 1235651381 | The Wellness Plan Medical Centers | Family Medicine | 46156 Woodward Ave, Pontiac, MI 48342-5033 | 2017-07-11 |
| 1427416783 | The Wellness Plan Medical Centers | Clinic/Center | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2016-02-02 |
| 1447675434 | The Wellness Plan Medical Centers | Clinic/Center | 44405 Woodward Ave, Suite H-13, Pontiac, MI 48341-5023 | 2014-02-27 |
| 1558614289 | The Wellness Plan Medical Centers | Obstetrics & Gynecology | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2012-10-18 |
| 1801148911 | The Wellness Plan Medical Centers | Dentist | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2012-10-12 |
| 1669632816 | The Wellness Plan Medical Centers | Clinic/Center | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2008-06-11 |
| 1982863478 | The Wellness Plan Medical Centers | Clinic/Center | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2008-06-09 |
| 1043373244 | The Wellness Plan Medical Centers | Clinic/Center | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2006-12-18 |
| 1649229287 | The Wellness Plan Medical Centers | Internal Medicine | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2006-05-10 |
| Street Address |
27321 HAMPDEN ST RM 202 |
| City | MADISON HEIGHTS |
| State | MI |
| Zip Code | 48071-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918831 | United Medical Laboratory LLC | Clinical Medical Laboratory | 30675 Stephenson Hwy, Suite B, Madison Heights, MI 48071 | 2020-09-25 |
| 1033776372 | Terry Ky-sieu Tran | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd., Madison Height, MI 48071 | 2019-05-22 |
| 1942865894 | Jordan Lee Stav | Student in an Organized Health Care Education/Training Program | Sjmo Emergency Medicine Residency Program, 27351 Dequindre Rd, Madison Heights, MI 48071 | 2019-05-07 |
| 1538624960 | Holistic Therapy Institute Physical Therapy, Inc. | Physical Therapist | 30201 Dequidre Rd Suite1, Madison Hts, MI 48071 | 2019-02-11 |
| 1720558216 | Kevin Luce | Physical Therapy Assistant | 1433 E 12 Mile Road, Madison Heights, MI 48071 | 2018-11-28 |
| 1861974297 | Olubunmi Oluremi Aluko | Physical Therapist | 1410 E.14 Mile Road, Madison Heights, MI 48071 | 2018-09-01 |
| 1558859579 | Leslie G Lafer, Dopllc | Obstetrics & Gynecology | 1437 E 12 Mile Road, Building D, Madison Heights, MI 48071 | 2018-04-25 |
| 1588161020 | Daniel Eugene Geer | Physical Therapist | 1410 E 14 Mile Road, Madison Heights, MI 48071 | 2018-04-11 |
| 1881100931 | Medshop Pharmacy LLC | Pharmacy | 30549 Stephenson Hwy Ste B, Madison Heights, MI 48071 | 2017-12-26 |
| 1730602004 | Ali Bazzy | Nurse Practitioner | 27483 Dequindre Suite 304, Madison Hgts, MI 48071 | 2017-07-19 |
| Find all providers in zip 48071 | ||||
| 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 |
|---|---|---|---|---|
| 1609271105 | Mycare Health Center | Clinic/Center | 1400 E12 Mile Road, Madison Heights, MI 48071 | 2014-10-27 |
| 1508231036 | Johnson Health Center | Clinic/Center | 200 Amelon Sq, Madison Heights, VA 24572-5981 | 2015-12-09 |
| 1972858660 | Johnson Health Center | Clinic/Center | 134 Elon Rd, Madison Heights, VA 24572-2536 | 2012-07-18 |
| 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 | ||||
| City | MADISON HEIGHTS |
| Zip Code | 48071 |
Please comment or provide details below to improve the information on THE WELLNESS PLAN MEDICAL CENTERS.
| 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.