WESTERN WAYNE FAMILY HEALTH CENTERS (NPI# 1184018210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184018210 |
| Entity Type | Organization |
| Organization Name | WESTERN WAYNE FAMILY HEALTH CENTERS |
| Other Organization Name | WESTERN WAYNE FAMILY HEALTH CENTERS-TAYLOR |
| Practice Address |
26650 Eureka Rd Suite C-1 Taylor MI 48180-4835 |
| Practice Telephone | 7349414991 |
| Practice Fax Number | 7349414919 |
| Mailing Telephone | 7349414991 |
| Mailing Fax Number | 7349414919 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |
| Authorized Official Name | LINDA R ATKINS (CEO) |
| Authorized Official Telephone | 7349414991 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTERN WAYNE FAMILY HEALTH CENTERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Western Wayne Family Health Centers-Taylor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972530277 | Western Wayne Family Health Centers | Clinic/Center | 2700 Hamlin Blvd, Inkster, MI 48141-2206 | 2006-06-26 |
| 1649820986 | Western Wayne Family Health Centers | Clinic/Center | 4700 Schaefer Rd, Dearborn, MI 48126-3655 | 2019-09-18 |
| 1922492040 | Western Wayne Family Health Centers | Clinic/Center | 2700 Hamlin Blvd, Inkster, MI 48141 | 2015-03-26 |
| 1053705269 | Western Wayne Family Health Centers | Clinic/Center | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2015-03-25 |
| 1508280116 | Western Wayne Family Health Centers | Clinic/Center | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2014-02-18 |
| 1023250412 | Western Wayne Family Health Centers | Clinic/Center | 26650 Eureka Rd, Suite C-1, Taylor, MI 48180-4835 | 2009-03-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WESTERN WAYNE FAMILY HEALTH CENTERS | 2700 Hamlin Rd, Inkster, MI 48141-2206 |
| Street Address |
26650 EUREKA RD SUITE C-1 |
| City | TAYLOR |
| State | MI |
| Zip Code | 48180-4835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669431375 | Harjit Kaur Kohli | Pediatrics | 26650 Eureka Rd, Suite C-1, Taylor, MI 48180-4835 | 2006-03-21 |
| 1649769209 | Mary Przeklasa | Case Manager/Care Coordinator | 26650 Eureka Rd, Taylor, MI 48180-4835 | 2018-05-08 |
| 1972000644 | Sierra Simone Devoe | Social Worker | 26650 Eureka Rd, Taylor, MI 48180-4835 | 2018-04-10 |
| 1093256976 | Stasa Todorovic | Case Management | 26650 Eureka Rd, Taylor, MI 48180-4835 | 2017-03-13 |
| 1457808206 | Jennifer Frances Smith-grady | Nurse Practitioner | 26650 Eureka Rd, Suite C, Taylor, MI 48180-4835 | 2016-09-08 |
| 1164979183 | Stephanie Preston | Social Worker | 26650 Eureka Rd, Taylor, MI 48180-4835 | 2016-09-07 |
| 1053777623 | Sarah Goodell | Social Worker | 26650 Eureka Rd, Suite A, Taylor, MI 48180-4835 | 2016-01-12 |
| 1437557410 | Judith Robinson | Social Worker | 26650 Eureka Rd, Suite B, Taylor, MI 48180-4835 | 2014-12-08 |
| 1780082818 | Laura Ann Spears | Registered Nurse | 26650 Eureka Rd, Suite A, Taylor, MI 48180-4835 | 2014-12-05 |
| 1457769598 | Tanzeela Rashid | Dental Hygienist | 26650 Eureka Rd, Suite C-1, Taylor, MI 48180-4835 | 2014-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920288 | Kenneth Harlan | Physical Therapist | 22606 Northline Rd., Taylor, MI 48180 | 2019-03-12 |
| 1790270916 | Ryan Thomas Sankovic | Physical Medicine & Rehabilitation | 10000 Telegraph Road, Taylor, MI 48180 | 2018-06-29 |
| 1538658026 | Deborah Moseley | Physical Therapist | 21308 Eureka Rd, Taylor, MI 48180 | 2018-05-09 |
| 1366944837 | Cheryl Lee Ivie | Nurse Practitioner | 26650 Eureka Rd Suite C, Taylor, MI 48180 | 2018-03-01 |
| 1619407376 | Markesha Lynn Smith | Case Manager/Care Coordinator | 26550 Eureka Road, Suite C, Taylor, MI 48180 | 2017-06-15 |
| 1376072645 | Chris James Clark | Massage Therapist | 11178 Katrine, Taylor, MI 48180 | 2017-06-08 |
| 1245767151 | Alexandre John Mazar | Student in an Organized Health Care Education/Training Program | 10000 Telegraph Road - Beaumont Taylor Hospital, Physical Medicine and Rehabilitation Department, Taylor, MI 48180 | 2017-05-23 |
| 1063949030 | Jared David Mccallum | Physical Medicine & Rehabilitation | Beaumont Hospital, Taylor - Attn: Chris L Birkenhauer, 10000 Telegraph Ro, Taylor, MI 48180 | 2017-05-22 |
| 1972039667 | Chante Lowman | Specialist/Technologist | 23774 Crisler St., Taylor, MI 48180 | 2017-05-02 |
| 1477003036 | Latricia Osborne | Licensed Practical Nurse | 94060e. Pickwick Circle, Taylor, MI 48180 | 2016-10-07 |
| Find all providers in zip 48180 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
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| 1295866135 | Downriver Mental Health Clinic | Clinic/Center | 20500 Eureka Rd, Suite 200, Taylor, MI 48180-6394 | 2007-03-09 |
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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.