FAMILY MEDICAL CENTER OF MICHIGAN,INC (NPI# 1407392970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407392970 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICAL CENTER OF MICHIGAN,INC |
| Other Organization Name | FAMILY MEDICAL CENTER OF MI-SOUTHGATE |
| Practice Address |
13101 Allen Rd Southgate MI 48195-2216 |
| Mailing Address |
8765 Lewis Ave Temperance MI 48182-9583 |
| Practice Telephone | 7346542169 |
| Practice Fax Number | 7346542535 |
| Mailing Telephone | 7348473802 |
| Mailing Fax Number | 7348500520 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | MR. ED LARKINS (CEO) |
| Authorized Official Telephone | 7348506914 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
H19CS02960 | MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Family Medical Center of MI-Southgate | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654666 | Family Medical Center of Michigan,inc | Clinic/Center | 550 E Main St Ste 1001, Hudson, MI 49247-9535 | 2020-09-22 |
| 1679195721 | Family Medical Center of Michigan,inc | Clinic/Center | 2740 Collingwood St Ste 100, Detroit, MI 48206-1473 | 2020-05-12 |
| 1023655347 | Family Medical Center of Michigan,inc | Clinic/Center | 8405 Jackman Rd Rm 15, Temperance, MI 48182-9159 | 2019-12-05 |
| 1689211914 | Family Medical Center of Michigan,inc | Clinic/Center | 8285 Jackman Rd Rm 815, Temperance, MI 48182-9165 | 2019-12-05 |
| 1801432638 | Family Medical Center of Michigan,inc | Clinic/Center | 11270 Grafton Rd Rm 215, Carleton, MI 48117-9392 | 2019-11-27 |
| 1548724784 | Family Medical Center of Michigan,inc | Clinic/Center | 5003 W Albain Rd Rm 195, Monroe, MI 48161-9558 | 2019-01-22 |
| 1174087308 | Family Medical Center of Michigan,inc | Psychologist | 2025 Traverwood Dr Ste D, Ann Arbor, MI 48105-2197 | 2019-01-22 |
| 1649753146 | Family Medical Center of Michigan,inc | Social Worker | 13000 Essex Ave Rm 211, Detroit, MI 48215-3243 | 2018-09-11 |
| 1306329800 | Family Medical Center of Michigan,inc | Clinic/Center | 15531 Linwood St Rm 102, Detroit, MI 48238-1465 | 2018-09-11 |
| 1366987281 | Family Medical Center of Michigan,inc | Clinic/Center | 3498 Treat Hwy, Adrian, MI 49221-9763 | 2017-01-02 |
| Street Address |
13101 ALLEN RD |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801835004 | Lisa K Filary | Social Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2006-06-05 |
| 1821696477 | Michelle Mary Wilson | Social Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-10-15 |
| 1851908214 | Amanda Renae Meyers | Counselor | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-09-29 |
| 1811504558 | Auburn Elswick | Counselor | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-09-27 |
| 1740895341 | Katelyn Marie Yaczik | Social Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-09-10 |
| 1780295352 | Lilliana Kesseler | Student in an Organized Health Care Education/Training Program | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-08-16 |
| 1093331290 | Hannah Langlois | Student in an Organized Health Care Education/Training Program | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-06-23 |
| 1790306835 | Heather Lynn Sandoval | Counselor | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-04-29 |
| 1609404292 | Amber R Bussell | Social Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-03-30 |
| 1093340077 | Erica R Davis | Social Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| 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 |
|---|---|---|---|---|
| 1427658244 | Hackley Community Care Center Inc | Clinic/Center | 3113 Pontaluna Rd Ste A, Fruitport, MI 49415-9600 | 2020-10-30 |
| 1760080972 | Hackley Community Care Center Inc | Clinic/Center | 1420 Madison St Ste A, Muskegon, MI 49442-5251 | 2020-10-12 |
| 1831706993 | Family Medical Center of Michigan, Inc | Clinic/Center | 503 Washington St Rm 150, Monroe, MI 48161-1309 | 2020-09-23 |
| 1326654666 | Family Medical Center of Michigan,inc | Clinic/Center | 550 E Main St Ste 1001, Hudson, MI 49247-9535 | 2020-09-22 |
| 1922613975 | Hackley Community Care Center Inc | Clinic/Center | 6245 Syers Rd Ste A, Holton, MI 49425-7557 | 2020-09-15 |
| 1700400389 | Northwest Michigan Health Services, Inc. | Clinic/Center | 300 W Broadway Ave Trlr 1, Scottville, MI 49454-1019 | 2020-05-30 |
| 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 | ||||
Please comment or provide details below to improve the information on FAMILY MEDICAL CENTER OF MICHIGAN,INC.
| 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.