COMMUNITY HEALTH AND SOCIAL SERVICES CENTER, INC. (NPI# 1275617599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275617599 |
Entity Type | Organization |
Organization Name | COMMUNITY HEALTH AND SOCIAL SERVICES CENTER, INC. |
Practice Address |
5635 W Fort St Detroit MI 48209-3154 |
Practice Telephone | 3138493920 |
Practice Fax Number | 3138490824 |
Mailing Telephone | 3138493920 |
Mailing Fax Number | 3138490824 |
Enumeration Date | 2006-10-24 |
Last Update Date | 2019-07-31 |
Authorized Official Name | FELIX M VALBUENA (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 3138493920 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
5301006207 | MI | Suppliers |
Street Address |
5635 W FORT ST |
City | DETROIT |
State | MI |
Zip Code | 48209-3154 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992795165 | Felix Mario Valbuena Jr. | Family Medicine | 5635 W Fort St, Detroit, MI 48209-3154 | 2005-10-27 |
1336746270 | Holly Ferguson | Student in an Organized Health Care Education/Training Program | 5635 W Fort St, Detroit, MI 48209-3154 | 2020-10-05 |
1578185211 | Matthew S Ellison | Student in an Organized Health Care Education/Training Program | 5635 W Fort St, Detroit, MI 48209-3154 | 2020-05-16 |
1538708276 | Christopher Sanjurjo Montalvo | Student in an Organized Health Care Education/Training Program | 5635 W Fort St, Detroit, MI 48209-3154 | 2019-12-28 |
1124667019 | Daniela Lopez | Counselor | 5635 W Fort St, Detroit, MI 48209-3154 | 2019-12-26 |
1548733629 | Maryrose Benson | Student in an Organized Health Care Education/Training Program | 5635 W Fort St, Detroit, MI 48209-3154 | 2019-01-10 |
1568935633 | Sharon Almonte | Student in an Organized Health Care Education/Training Program | 5635 W Fort St, Detroit, MI 48209-3154 | 2019-01-10 |
1962973784 | Luis Felipe Cebas | Social Worker | 5635 W Fort St, Detroit, MI 48209-3154 | 2018-12-06 |
1932611761 | Sherry Lynn Ismail | Registered Nurse | 5635 W Fort St, Detroit, MI 48209-3154 | 2017-11-02 |
1992223507 | Jaribeth Disla | Counselor | 5635 W Fort St, Detroit, MI 48209 | 2017-09-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316501471 | El Valle Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 1940 Campbell, Detroit, MI 48209 | 2019-04-24 |
1598211583 | Elizabeth Lopez-riachi | Technician, Other | 1551 Cavaqlry St., Detroit, MI 48209 | 2016-08-30 |
1205210333 | Yamirka Torres | Behavioral Analyst | 1551 Cavalry St, Detroit, MI 48209 | 2015-07-18 |
1689943359 | Jessica Male | Pharmacist | 6223 W Jefferson Ave, Detroit, MI 48209 | 2011-12-23 |
1003070723 | Mark Beard | General Practice | 5700 W Vernor Hwy, Detroit, MI 48209 | 2008-07-11 |
1891980330 | Emery K Toth | Dentist | 8028 W Vernor Hwy, Detroit, MI 48209 | 2007-09-07 |
1225131881 | Eva A Karmo | Dentist | 4607 W. Vernor Hwy, Detroit, MI 48209 | 2006-09-07 |
1023123858 | Wanda E Velez Ruiz | Internal Medicine | 4115 W Vernor, Detroit, MI 48209 | 2006-08-20 |
1235142563 | Wendy Yousif Mckay | Family Medicine | 5831 W Vernor, Detroit, MI 48209 | 2006-08-15 |
1316950645 | Sahir H Cittan | Family Medicine | 5831 West Vernor, Detroit, MI 48209 | 2006-08-15 |
Find all providers in zip 48209 |
Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427167196 | Springwells Clinical Pharmacy Inc. | Pharmacy | 2117 Springwells St, Detroit, MI 48209-1507 | 2006-08-29 |
1700377538 | Covenant Community Care, Inc. | Pharmacy | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2018-05-29 |
1679737480 | Detroit Community Health Connection | Pharmacy | 7900 Kercheval St, Detroit, MI 48214-2439 | 2008-07-11 |
1447433842 | City of Detroit | Pharmacy | 3245 E Jefferson Ave Ste 100, Detroit, MI 48207-4222 | 2007-12-10 |
1669673745 | A&h Pharmacy Services | Pharmacy | 15000 Gratiot Ave, Suite 140, Detroit, MI 48205-1973 | 2007-05-29 |
1275676066 | Trinity Health Michigan | Pharmacy | 5555 Conner St, Suite 2691, Detroit, MI 48213-3448 | 2007-02-14 |
1053351908 | Franklin Medical Pharmacy Inc | Pharmacy | 17950 Woodward Ave, Detroit, MI 48203-2260 | 2006-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134744907 | Us Health Pharmaceuticals | Pharmacy | 23350 Greenfield Rd # 200b, Oak Park, MI 48237-2496 | 2020-06-08 |
1386286615 | Campus Drugs LLC | Pharmacy | 1065 N Huron River Dr Ste 600, Ypsilanti, MI 48197-3296 | 2019-10-08 |
1457850786 | Village Pharmacy Compounding 2 Inc | Pharmacy | 23077 Greenfield Rd Ste 100, Southfield, MI 48075-3744 | 2018-02-01 |
1225122724 | Blue Care Network of Michigan Pharmacy II | Pharmacy | 1401 S. Creyts Rd., Lansing, MI 48917 | 2006-10-02 |
1023059920 | Monroe Health Ventures, Inc | Pharmacy | 100 Powell Dr Suite 1, Dundee, MI 48131 | 2006-06-10 |
1861441768 | Pmc Pharmacy Inc | Pharmacy | 1241 W Broadway St, Three Rivers, MI 49093-8319 | 2006-05-08 |
1023654902 | Drug Store Inc | Pharmacy | 2236 Us Highway 23 S, Alpena, MI 49707-4544 | 2019-11-26 |
1033679071 | Quad/med, LLC | Pharmacy | 715 E Main St, Midland, MI 48640 | 2019-03-25 |
1619408424 | Peninsula Pharmacy Escanaba LLC | Pharmacy | 2500 7th Ave S, Ste 200, Escanaba, MI 49829-1292 | 2017-03-23 |
1467997239 | Little River Band of Ottawa Indians | Pharmacy | 2608 Government Center Dr, Manistee, MI 49660-8302 | 2017-01-03 |
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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.