HEALTH CENTERS DETROIT FOUNDATION, INC. (NPI# 1386705804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386705804 |
| Entity Type | Organization |
| Organization Name | HEALTH CENTERS DETROIT FOUNDATION, INC. |
| Other Organization Name | HEALTH CENTERS DETROIT MEDICAL GROUP |
| Practice Address |
23077 Greenfield Rd Ste 489 Southfield MI 48075-3740 |
| Practice Telephone | 2484233900 |
| Practice Fax Number | 2484238169 |
| Mailing Telephone | 2484233900 |
| Mailing Fax Number | 2484238169 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2012-01-20 |
| Authorized Official Name | DR. HERBERT C. SMITHERMAN JR. (PRESIDENT & CEO) |
| Authorized Official Telephone | 3139665187 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Health Centers Detroit Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518026541 | Health Centers Detroit Foundation, Inc. | Clinic/Center | 7633 E Jefferson Ave, Suite 340, Detroit, MI 48214-3730 | 2006-12-06 |
| 1770657785 | Health Centers Detroit Foundation, Inc. | Clinic/Center | 4201 Saint Antoine St, 7a, Detroit, MI 48201-2153 | 2006-11-20 |
| Street Address |
23077 GREENFIELD RD STE 489 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-3740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215974753 | Jira G Coumarbatch | Family Medicine | 23077 Greenfield Rd Ste 489, Southfield, MI 48075-3740 | 2006-06-01 |
| 1538698378 | American Center for Pain Management. Pllc | Family Medicine | 23077 Greenfield Rd Ste 489, Southfield, MI 48075-3740 | 2017-06-06 |
| 1730499294 | Chitra Sinha | Family Medicine | 23077 Greenfield Rd Ste 489, Southfield, MI 48075-3740 | 2010-10-18 |
| 1861728362 | Superior Family Medicine Clinic PC | Family Medicine | 23077 Greenfield Rd Ste 489, Southfield, MI 48075-3740 | 2009-10-19 |
| 1184782138 | James Haney | Family Medicine | 23077 Greenfield Rd Ste 489, Southfield, MI 48075-3740 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| 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 |
|---|---|---|---|---|
| 1083965065 | Oakland Integrated Healthcare Network | Clinic/Center | 22200 W. Nine Mile Rd, Southfield, MI 48033-6008 | 2012-10-01 |
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| 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 | SOUTHFIELD |
| Zip Code | 48075 |
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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.