CENTER FOR FAMILY HEALTH (NPI# 1366740342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366740342 |
| Entity Type | Organization |
| Organization Name | CENTER FOR FAMILY HEALTH |
| Other Organization Name | JACKSON HIGH TEEN HEALTH CENTER |
| Practice Address |
544 Wildwood Ave Jackson MI 49201-1013 |
| Mailing Address |
505 N Jackson St Jackson MI 49201-1266 |
| Practice Telephone | 5177800838 |
| Practice Fax Number | 5177800689 |
| Mailing Telephone | 5177485500 |
| Mailing Fax Number | 5177809286 |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2013-02-13 |
| Authorized Official Name | MS. MOLLY KASER (CEO) |
| Authorized Official Telephone | 5177485500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 122300000X | Dentist | Dental Providers | ||
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Jackson High Teen Health Center | 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 |
| 1124369970 | Center for Family Health | Family Medicine | 1200 N West Ave, Jackson, MI 49202-2179 | 2013-03-04 |
| 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 |
| 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 |
544 WILDWOOD AVE |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023015682 | Roberta Wright Brandt | Physician Assistant | 544 Wildwood Ave, Jackson, MI 49201-1013 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215556048 | Hannah Roberts Badon | Internal Medicine | 2450 Wild Valley Dr, Jackson, MS 39211-6224 | 2020-04-12 |
| 1649809476 | Rachel Horn Mullins | Internal Medicine | 5379 Fairway St, Jackson, MS 39211-4251 | 2020-04-03 |
| 1861800666 | Michigan Continuum Care Pllc | Internal Medicine | 1310 Greenwood Ave., Jackson, MI 49203 | 2014-07-25 |
| 1356605752 | Jeremy Taylor | Internal Medicine | 971 Lakeland Dr Ste 450, Jackson, MS 39216-4615 | 2012-06-29 |
| 1134416019 | Zubair Khan | Internal Medicine | 3291 Creekwood Cir, Jackson, WI 53037-8927 | 2011-06-29 |
| 1801181466 | Anne Marie Shute | Internal Medicine | 7 Windwood Dr, Jackson, TN 38305-8835 | 2011-06-12 |
| 1487945648 | Howard Carroll Friday | Internal Medicine | 4019 Old Canton Rd., Jackson, MS 39216 | 2011-04-22 |
| 1801195003 | Mahir H Alsalman | Internal Medicine | 3100 Cooper St, Jackson, MI 49201-7545 | 2011-03-28 |
| 1912138967 | Tatum Medical Clinic | Internal Medicine | 5903 Ridgewood Rd Ste 330, Jackson, MS 39211-3702 | 2009-08-06 |
| 1306089040 | Hussein Othman | Internal Medicine | 205 Page Ave Ste B, Jackson, MI 49201-2462 | 2009-04-10 |
| 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.