HEALTH CENTERS DETROIT FOUNDATION, INC. (NPI# 1518026541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518026541 |
| Entity Type | Organization |
| Organization Name | HEALTH CENTERS DETROIT FOUNDATION, INC. |
| Other Organization Name | HEALTH CENTERS DETROIT MEDICALGROUP |
| Practice Address |
7633 E Jefferson Ave Suite 340 Detroit MI 48214-3730 |
| Practice Telephone | 3138229801 |
| Practice Fax Number | 3138221030 |
| Mailing Telephone | 3138229801 |
| Mailing Fax Number | 3138221030 |
| Enumeration Date | 2006-12-06 |
| 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) |
443750 | MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Health Centers Detroit MedicalGroup | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386705804 | Health Centers Detroit Foundation, Inc. | Clinic/Center | 23077 Greenfield Rd Ste 489, Southfield, MI 48075-3740 | 2006-12-12 |
| 1770657785 | Health Centers Detroit Foundation, Inc. | Clinic/Center | 4201 Saint Antoine St, 7a, Detroit, MI 48201-2153 | 2006-11-20 |
| Street Address |
7633 E JEFFERSON AVE SUITE 340 |
| City | DETROIT |
| State | MI |
| Zip Code | 48214-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922097542 | Steven P Hadesman | Internal Medicine | 7633 E Jefferson Ave, Suite 290, Detroit, MI 48214-3730 | 2005-10-17 |
| 1336675727 | Nicholas Joseph Thomas | Student in an Organized Health Care Education/Training Program | 7633 E Jefferson Ave, Suite 70, Detroit, MI 48214-3730 | 2017-05-04 |
| 1629510482 | Dds-tapestry | Dentist | 7633 E Jefferson Ave, Ste 200, Detroit, MI 48214-3730 | 2016-11-10 |
| 1144677501 | Princess Elhosary | Dentist | 7633 E Jefferson Ave, Suite 70, Detroit, MI 48214-3730 | 2016-05-16 |
| 1427419688 | Ashley D'agostini | Student in an Organized Health Care Education/Training Program | 7633 E Jefferson Ave, Suite 70, Detroit, MI 48214-3730 | 2016-03-16 |
| 1912383928 | Dearborn Podiatry Clinic Pllc | Podiatrist | 7633 E Jefferson Ave, Suite 250, Detroit, MI 48214-3730 | 2015-08-03 |
| 1487037610 | Samantha Dubin | Student in an Organized Health Care Education/Training Program | 7633 E Jefferson Ave, Suite 70, Detroit, MI 48214-3730 | 2015-07-07 |
| 1023415288 | Bazzi Podiatry | Podiatrist | 7633 E Jefferson Ave, Suite 250, Detroit, MI 48214-3730 | 2014-12-03 |
| 1164829438 | David Scott Coviak | Dentist | 7633 E Jefferson Ave, Suite 70, Detroit, MI 48214-3730 | 2014-12-02 |
| 1124428198 | Matthew Cannavo | Dentist | 7633 E Jefferson Ave, Suite 70, Detroit, MI 48214-3730 | 2014-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376042325 | Tamara Wesley | Registered Nurse | 9000 E. Jefferson Apt 28-14, Detroit, MI 48214 | 2018-02-06 |
| 1720534381 | Birth Beautiful Detroit | Clinic/Center | 1086 Baldwin, Detroit, MI 48214 | 2016-09-01 |
| 1225402886 | Steven Doyle Whatley I | Counselor | 1423 Field Ave., Adult Well Being Services, Detroit, MI 48214 | 2015-11-19 |
| 1255587945 | Andrew Avery | Internal Medicine | 7733 East Jefferson Ave, Detroit, MI 48214 | 2008-08-13 |
| 1639330210 | Nicole Lashawn Greene | Specialist | 4533 St Clair St, Detroit, MI 48214 | 2008-06-17 |
| 1629299433 | Alan R Faber Jr. | Dentist | 8191 E Jefferson Ave, Detroit, MI 48214 | 2007-05-01 |
| 1518188598 | Mary F Bridges | Psychiatry & Neurology | 8120 East Jefferson #3l, Detroit, MI 48214 | 2007-05-01 |
| 1053439737 | Geraldine Etella Davis | Counselor | 3840 Fairview St., Detroit, MI 48214 | 2007-03-27 |
| 1639203482 | Detroit-macomb Hospital Corporation | Advanced Practice Midwife | 7815 E. Jefferson, Detroit, MI 48214 | 2007-03-15 |
| 1033275441 | Anesha Amor Rouse | Physical Therapy Assistant | 7633 E. Jefferson Ave, Suite 170, Detroit, MI 48214 | 2006-12-29 |
| Find all providers in zip 48214 | ||||
| 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 |
|---|---|---|---|---|
| 1679195721 | Family Medical Center of Michigan,inc | Clinic/Center | 2740 Collingwood St Ste 100, Detroit, MI 48206-1473 | 2020-05-12 |
| 1154892958 | Family Medical Center of Michigan, Inc | Clinic/Center | 2425 Tuxedo St Rm 115, Detroit, MI 48206-1222 | 2018-12-06 |
| 1801361464 | Detroit Health Care for The Homeless | Clinic/Center | 1355 Oakman Blvd, Detroit, MI 48238-2849 | 2018-10-10 |
| 1306329800 | Family Medical Center of Michigan,inc | Clinic/Center | 15531 Linwood St Rm 102, Detroit, MI 48238-1465 | 2018-09-11 |
| 1982072963 | Detroit Healthcare for The Homeless | Clinic/Center | 1234 Porter St, Detroit, MI 48226-2407 | 2015-09-09 |
| 1851554034 | Detroit Community Health Connection, Inc | Clinic/Center | 111 W 7 Mile Rd, Detroit, MI 48203-1968 | 2008-07-08 |
| 1396839981 | Detroit Health Care for The Homeless | Clinic/Center | 60 E. Warren, Detroit, MI 48201 | 2006-10-03 |
| 1285735845 | Detroit Health Care for The Homeless | Clinic/Center | 20548 Fenkell, Detroit, MI 48223 | 2006-09-26 |
| 1275576886 | Ronaldo B Supena | Clinic/Center | 611 Martin Luther King Jr Blvd, Detroit, MI 48201-2273 | 2006-06-13 |
| 1033109244 | Community Health and Social Services Center, Inc | Clinic/Center | 7436 Woodward Ave, Detroit, MI 48202-3100 | 2005-10-27 |
| Find all providers in DETROIT | ||||
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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.