CENTER FOR FAMILY HEALTH (NPI# 1124369970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124369970 |
| Entity Type | Organization |
| Organization Name | CENTER FOR FAMILY HEALTH |
| Other Organization Name | CENTER FOR FAMILY HEALTH AT LIFEWAYS |
| Practice Address |
1200 N West Ave Jackson MI 49202-2179 |
| Mailing Address |
505 N Jackson St Jackson MI 49201-1266 |
| Practice Telephone | 5177485500 |
| Practice Fax Number | 5177809286 |
| Mailing Telephone | 5177485500 |
| Mailing Fax Number | 5177809286 |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-06-26 |
| Authorized Official Name | MOLLY KASER (CEO) |
| Authorized Official Telephone | 5177485500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Center for Family Health at Lifeways | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922171479 | Center for Family Health | Social Worker | 1024 Fleming Ave, Jackson, MI 49202-2536 | 2006-11-15 |
| 1497825939 | Center for Family Health | Internal Medicine | 2400 4th St, Jackson, MI 49203-4573 | 2006-11-09 |
| 1255724027 | Center for Family Health | Dentist | 505 N Jackson St, Jackson, MI 49201-1266 | 2015-03-18 |
| 1144634775 | Center for Family Health | Family Medicine | 240 W Carleton Rd, Hillsdale, MI 49242-5034 | 2014-06-11 |
| 1679905376 | Center for Family Health | Family Medicine | 6700 Rives Junction Rd, Jackson, MI 49201-7448 | 2013-08-05 |
| 1700156999 | Center for Family Health | Social Worker | 505 N Jackson St, Jackson, MI 49201-1266 | 2012-01-05 |
| 1306137161 | Center for Family Health | Pharmacy | 505 N Jackson St, Jackson, MI 49201-1266 | 2011-04-28 |
| 1043509557 | Center for Family Health | Internal Medicine | 505 N Jackson St, Jackson, MI 49201-1266 | 2011-04-05 |
| 1366740342 | Center for Family Health | Social Worker | 544 Wildwood Ave, Jackson, MI 49201-1013 | 2011-03-01 |
| 1578793816 | Center for Family Health | Family Medicine | 165 E Plank Rd, Sycamore, IL 60178-8757 | 2009-07-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTER FOR FAMILY HEALTH | 505 N Jackson St, Jackson, MI 49201-1266 |
| System for Award Management (SAM) Entities | CENTER FOR FAMILY HEALTH & EDUCATION, INC. | 8727 Van Nuys Blvd #101,102,103,201,203, Panorama City, CA 91402-2451 |
| System for Award Management (SAM) Entities | CENTER FOR FAMILY HEALTH RESEARCH | 57 Kk 19 Avenue, Building 2, Kigali, , RWA |
| Street Address |
1200 N WEST AVE |
| City | JACKSON |
| State | MI |
| Zip Code | 49202-2179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366496051 | Dennis J Glandon | Social Worker | 1200 N West Ave, Suite 400, Jackson, MI 49202-2179 | 2006-05-19 |
| 1669084810 | Sarah Lynn Ackerman | Case Manager/Care Coordinator | 1200 N West Ave, Jackson, MI 49202-2179 | 2020-08-19 |
| 1265055925 | Kelly Ann Parten | Case Manager/Care Coordinator | 1200 N West Ave, Jackson, MI 49202-2179 | 2020-05-28 |
| 1568084143 | James L Horrigan II | Social Worker | 1200 N West Ave, Jackson, MI 49202-2179 | 2020-05-18 |
| 1821619099 | Kimberly Kay Bomar | Social Worker | 1200 N West Ave, Jackson, MI 49202-2179 | 2020-04-29 |
| 1255951281 | Stephanie Elizabeth Goodrich | Case Manager/Care Coordinator | 1200 N West Ave, Jackson, MI 49202-2179 | 2020-04-20 |
| 1104463306 | Chad Lige | Health Educator | 1200 N West Ave, Jackson, MI 49202-2179 | 2019-12-06 |
| 1578100244 | Vickie Lynn Kittle | Peer Specialist | 1200 N West Ave, Jackson, MI 49202-2179 | 2019-12-02 |
| 1710522701 | Crystal Ann Chaffee | Social Worker | 1200 N West Ave, Jackson, MI 49202-2179 | 2019-11-13 |
| 1184269169 | Stephanie Leeann Justice | Case Manager/Care Coordinator | 1200 N West Ave, Jackson, MI 49202-2179 | 2019-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
| Find all providers in zip 49202 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754995 | Oak Street Health Physicians Group of Mississippi, LLC | Family Medicine | 911 Ellis Ave, Jackson, MS 39209 | 2020-06-09 |
| 1003470758 | Central Mississippi Health Services, Inc | Family Medicine | 3450 Highway 80 W Ste 71, Jackson, MS 39209-7201 | 2019-04-29 |
| 1922515493 | Meaghan Schenk Johnson | Family Medicine | 2969 Curran Dr N # 200, Jackson, MS 39216-4121 | 2018-01-05 |
| 1740795731 | Emily Colleen Dunaway | Family Medicine | 1227 N State St # 101, Jackson, MS 39202-2002 | 2017-12-12 |
| 1679086367 | Hope Np House Call Practice | Family Medicine | 98 Grandview Ave, Jackson, OH 45640-9090 | 2017-11-16 |
| 1427585488 | Daniel Matthew Bender | Family Medicine | 455 W Broadway Ave, Jackson, WY 83001-8639 | 2017-05-21 |
| 1891235289 | Logan Hardin | Family Medicine | 1270 Union University Dr Ste A, Jackson, TN 38305-3856 | 2017-03-03 |
| 1255782843 | Seth Tyler Koehler | Family Medicine | 2600 E Main St, Jackson, MO 63755-2473 | 2016-06-25 |
| 1720495245 | Gopi Patel | Family Medicine | 27 S Cooks Bridge Rd Ste 2-1, Jackson, NJ 08527-2524 | 2014-07-16 |
| 1154735165 | Lk Physicians Services Pllc | Family Medicine | 36 Lake Pointe Dr, Jackson, TN 38305-8113 | 2014-06-17 |
| Find all providers in JACKSON | ||||
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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.