PACKARD HEALTH, INC. (NPI# 1609988245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609988245 |
| Entity Type | Organization |
| Organization Name | PACKARD HEALTH, INC. |
| Practice Address |
3174 Packard Rd. Ann Arbor MI 48108 |
| Practice Telephone | 7349711073 |
| Practice Fax Number | 7349260124 |
| Mailing Telephone | 7349711073 |
| Mailing Fax Number | 7349260124 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-01-08 |
| Authorized Official Name | MR. MARK J. JACOBY (CFO) |
| Authorized Official Telephone | 7349264938 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | MI | Ambulatory Health Care Facilities | |
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851769053 | Packard Health, Inc. | Clinic/Center | 312 W Huron St, Ann Arbor, MI 48103-4204 | 2015-09-04 |
| 1962879890 | Packard Health, Inc. | Clinic/Center | 200 Arnet St, Ypsilanti, MI 48198-5753 | 2015-08-26 |
| 1841687589 | Packard Health, Inc. | Clinic/Center | 501 N Maple Rd, Ann Arbor, MI 48103-2827 | 2015-04-21 |
| 1922491760 | Packard Health, Inc. | Clinic/Center | 3174 Packard St, Ann Arbor, MI 48108-1947 | 2015-03-17 |
| Street Address |
3174 PACKARD RD. |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
| Find all providers in zip 48108 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003445800 | Dr. Chris Popp, PC | Clinic/Center | 107 Aprill Dr Ste 5, Ann Arbor, MI 48103-1956 | 2020-04-03 |
| 1649620329 | Planned Parenthood of Michigan | Clinic/Center | 950 Victors Way, Suite 100, Ann Arbor, MI 48106-5217 | 2016-06-14 |
| 1669528568 | David Beltzman Md Inc. | Clinic/Center | 2020 Hogback Rd Ste 14, Ann Arbor, MI 48105-9752 | 2007-01-25 |
| 1548717721 | Huron Valley Physician Association, P.C. | Clinic/Center | 2002 Hogback Rd, Suite 3, Ann Arbor, MI 48105-9736 | 2016-09-06 |
| 1144682634 | University of Michigan Health System | Clinic/Center | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2016-03-23 |
| 1235513375 | University of Michigan | Clinic/Center | 1000 Wall St, Pediatric Ophthalmology and Strabismus Clinic, Ann Arbor, MI 48105-1912 | 2015-07-18 |
| 1568802650 | Healthy Ever After, LLC | Clinic/Center | 5204 Jackson Rd, Suite C, Ann Arbor, MI 48103-1866 | 2013-07-03 |
| 1881945863 | Planned Parenthood Mid and South Michigan | Clinic/Center | 3100 Professional Dr, Ann Arbor, MI 48104-5131 | 2012-10-01 |
| 1194075259 | Kathryn Hannan At Theracare, Inc | Clinic/Center | 2002 Hogback Rd, Suite 14, Ann Arbor, MI 48105-9736 | 2012-09-17 |
| 1346540960 | Live Well Chiropractic Center Pllc | Clinic/Center | 204 E Washington St, Ann Arbor, MI 48104-2008 | 2010-10-29 |
| Find all providers in ANN ARBOR | ||||
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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.