FAMILY HEALTH CENTER, INC. (NPI# 1386789279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386789279 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTER, INC. |
| Other Organization Name | FAMILY HEALTH CENTER, SOUTH |
| Practice Address |
2030 Portage St Kalamazoo MI 49001-3836 |
| Mailing Address |
117 W Paterson St Kalamazoo MI 49007-2557 |
| Practice Telephone | 2693492641 |
| Practice Fax Number | 2694888101 |
| Mailing Telephone | 2693492641 |
| Mailing Fax Number | 2694888101 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2010-11-16 |
| Authorized Official Name | MS. DENISE R CRAWFORD (PRESIDENT AND CEO) |
| Authorized Official Telephone | 2693494257 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY HEALTH CENTER INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 4301063404 | MI | Allopathic & Osteopathic Physicians |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 0C96017 | 01 |
| Other Name | Type Code |
|---|---|
| Family Health Center, South | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891005906 | Family Health Center, Inc. | Clinic/Center | 1308 N Burdick St, Kalamazoo, MI 49007-2553 | 2010-10-08 |
| 1669697660 | Family Health Center, Inc. | Family Medicine | 103 11th St. Ste 7, Chillicothe, MO 64601 | 2007-04-16 |
| 1821132937 | Family Health Center, Inc. | Family Medicine | 431 N Rose St, Kalamazoo, MI 49007-3637 | 2007-02-20 |
| 1932739034 | Family Health Center, Inc. | Bus | 117 S 11th Ave, Laurel, MS 39440-4312 | 2020-01-17 |
| 1023560331 | Family Health Center, Inc. | Clinic/Center | 505 E Alcott St, Kalamazoo, MI 49001 | 2016-11-03 |
| 1356899629 | Family Health Center, Inc. | Clinic/Center | 3299 Gull Rd, Room G- 5, Kalamazoo, MI 49048-1281 | 2016-09-15 |
| 1477919603 | Family Health Center, Inc. | Clinic/Center | 117 S 11th Ave, Laurel, MS 39440-4312 | 2016-01-04 |
| 1598068553 | Family Health Center, Inc. | Clinic/Center | 2918 Portage St, Kalamazoo, MI 49001-3755 | 2010-12-14 |
| 1326229147 | Family Health Center, Inc. | Community Health Worker | 117 S 11th Ave, Laurel, MS 39440-4312 | 2007-11-20 |
| Street Address |
2030 PORTAGE ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49001-3836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124126339 | Dahlia Morello | Dentist | 2030 Portage St, Kalamazoo, MI 49001-3836 | 2006-09-20 |
| 1154937746 | Victoria Mcduffey | Social Worker | 2030 Portage St, Kalamazoo, MI 49001-3836 | 2020-09-18 |
| 1982219101 | Alana Thomas | Social Worker | 2030 Portage St, Kalamazoo, MI 49001-3836 | 2020-09-14 |
| 1952929473 | Alyssa Jontae Trager | Social Worker | 2030 Portage St, Kalamazoo, MI 49001-3836 | 2020-07-10 |
| 1972132058 | Cheryl Lyn Nebedum | Social Worker | 2030 Portage St, Kalamazoo, MI 49001-3836 | 2020-04-02 |
| 1083246573 | Damon Delano Chambers | Counselor | 2030 Portage St, Kalamazoo, MI 49001-3836 | 2020-02-12 |
| 1689142325 | Darcy L. Buchoz-bos | Social Worker | 2030 Portage St, Kalamazoo, MI 49001-3836 | 2018-11-12 |
| 1841766789 | Ashley Erin Esterline | Social Worker | 2030 Portage St, Kalamazoo, MI 49001-3836 | 2018-10-18 |
| 1831665801 | Dana Marie Foltz | Counselor | 2030 Portage St, Kalamazoo, MI 49001-3836 | 2018-10-17 |
| 1760822696 | Samantha Kay Fulkerson | Social Worker | 2030 Portage St, Kalamazoo, MI 49001-3836 | 2013-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568004372 | Tiffany Malory | Counselor | 2030 Portage St., Kalamazoo, MI 49001 | 2019-10-14 |
| 1770050502 | Trevor F Eisaman | Chiropractor | 1324 S Park St Suite #3, Kalamazoo, MI 49001 | 2018-10-30 |
| 1104318369 | Marathon Health LLC | Nurse Practitioner | 3520 Covington Rd, Kalamazoo, MI 49001 | 2018-06-04 |
| 1407374580 | Joel Damian Burnett | Counselor | 401 Howard St., Kalamazoo, MI 49001 | 2017-09-08 |
| 1538686449 | Amber Dawn Beauchamp | Counselor | 401 S. Howard St., Kalamazoo, MI 49001 | 2017-08-23 |
| 1740645381 | Integrated Spine and Pain Center Pllc | Durable Medical Equipment & Medical Supplies | 1324 S. Park Street, Kalamazoo, MI 49001 | 2015-12-28 |
| 1366825317 | Abigail Rose Franklin- Bly | Social Worker | 1608 Lake St., Kalamazoo, MI 49001 | 2015-07-08 |
| 1194108142 | Glenn Pohl | Social Worker | 1608 Lake Street, Kalamazoo, MI 49001 | 2015-07-08 |
| 1285996850 | Aisha Coulson-walters | Social Worker | 1501 Fulford St, Kalamazoo, MI 49001 | 2012-06-11 |
| 1912279282 | Custom Carelink, L.L.C. | Home Health | 2300 Portage St., Apt. 127, Kalamazoo, MI 49001 | 2012-02-02 |
| Find all providers in zip 49001 | ||||
| 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 |
|---|---|---|---|---|
| 1891005906 | Family Health Center, Inc. | Clinic/Center | 1308 N Burdick St, Kalamazoo, MI 49007-2553 | 2010-10-08 |
| 1023560331 | Family Health Center, Inc. | Clinic/Center | 505 E Alcott St, Kalamazoo, MI 49001 | 2016-11-03 |
| 1356899629 | Family Health Center, Inc. | Clinic/Center | 3299 Gull Rd, Room G- 5, Kalamazoo, MI 49048-1281 | 2016-09-15 |
| 1811065576 | Family Health Center Inc | Clinic/Center | 117 W Paterson Street, Kalamazoo, MI 49007-2557 | 2006-12-01 |
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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.