WESTERN WAYNE FAMILY HEALTH CENTERS (NPI# 1649820986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649820986 |
| Entity Type | Organization |
| Organization Name | WESTERN WAYNE FAMILY HEALTH CENTERS |
| Practice Address |
4700 Schaefer Rd Dearborn MI 48126-3655 |
| Mailing Address |
2700 Hamlin Blvd Inkster MI 48141-2206 |
| Practice Telephone | 3135615100 |
| Mailing Telephone | 3135615100 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |
| Authorized Official Name | MS. LINDA R ATKINS (CEO) |
| Authorized Official Telephone | 3135615100 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTERN WAYNE FAMILY HEALTH CENTERS |
| 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 |
|---|---|
| Western Wayne Family Health Center, Dearborn | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972530277 | Western Wayne Family Health Centers | Clinic/Center | 2700 Hamlin Blvd, Inkster, MI 48141-2206 | 2006-06-26 |
| 1184018210 | Western Wayne Family Health Centers | Clinic/Center | 26650 Eureka Rd, Suite C-1, Taylor, MI 48180-4835 | 2015-03-26 |
| 1922492040 | Western Wayne Family Health Centers | Clinic/Center | 2700 Hamlin Blvd, Inkster, MI 48141 | 2015-03-26 |
| 1053705269 | Western Wayne Family Health Centers | Clinic/Center | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2015-03-25 |
| 1508280116 | Western Wayne Family Health Centers | Clinic/Center | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2014-02-18 |
| 1023250412 | Western Wayne Family Health Centers | Clinic/Center | 26650 Eureka Rd, Suite C-1, Taylor, MI 48180-4835 | 2009-03-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WESTERN WAYNE FAMILY HEALTH CENTERS | 2700 Hamlin Rd, Inkster, MI 48141-2206 |
| Street Address |
4700 SCHAEFER RD |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-3655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831169911 | Suhail M Banister | Pediatrics | 4700 Schaefer Rd, Dearborn, MI 48126-3698 | 2006-01-23 |
| 1497279020 | Molina Medical Group of Michigan, PC | Family Medicine | 4700 Schaefer Rd, Dearborn, MI 48126-3655 | 2017-07-26 |
| 1861931941 | Wassim Abouarabi | Nurse Practitioner | 4700 Schaefer Rd, Dearborn, MI 48126-3655 | 2017-02-22 |
| 1316497761 | Molina Medical Group of Michigan, PC | Clinical Medical Laboratory | 4700 Schaefer Rd, Dearborn, MI 48126-3655 | 2016-10-10 |
| 1407204134 | Molina Medical Group of Michigan, PC | Obstetrics & Gynecology | 4700 Schaefer Rd, Dearborn, MI 48126-3698 | 2016-06-03 |
| 1831595040 | Angela Elaine Eburuche | Nurse Practitioner | 4700 Schaefer Rd, Dearborn, MI 48126-3698 | 2014-11-16 |
| 1316368582 | Haya Altown | Physician Assistant | 4700 Schaefer Rd, Dearborn, MI 48126 | 2013-12-13 |
| 1174880736 | Oakwood Dentists P.l.l.c. | Dentist | 4700 Schaefer Rd, #109, Dearborn, MI 48126-3698 | 2012-04-19 |
| 1134492465 | University Physician Group | Eyewear Supplier (Equipment, not the service) | 4700 Schaefer Rd, Suite 260, Dearborn, MI 48126-3698 | 2012-02-16 |
| 1801164355 | Midwest Surgery Center | Clinic/Center | 4700 Schaefer Rd, Dearborn, MI 48126-3698 | 2011-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1053948265 | Upper Great Lakes Family Health Center | Clinic/Center | 1414 W Fair Ave Ste 242, Marquette, MI 49855-5406 | 2020-03-26 |
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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.