COUNTY OF INGHAM (NPI# 1679130942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679130942 |
| Entity Type | Organization |
| Organization Name | COUNTY OF INGHAM |
| Other Organization Name | GARDNER COMMUNITY HEALTH CENTER |
| Practice Address |
333 Dahlia Dr Lansing MI 48911-3789 |
| Mailing Address |
Po Box 30161 Lansing MI 48909-7661 |
| Practice Telephone | 5172448019 |
| Practice Fax Number | 5172447174 |
| Mailing Telephone | 5172448019 |
| Mailing Fax Number | 5172447174 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | JOEL MURR (DHO / ED) |
| Authorized Official Telephone | 5178874474 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE PIN | 0M77560 | 01 |
| MI | MEDICARE PIN | 0C36051 | 01 |
| MI | PTAN | 231155 | 01 |
| Other Name | Type Code |
|---|---|
| Gardner Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558928747 | County of Ingham | Clinic/Center | 815 N Fairview Ave, Lansing, MI 48912-3129 | 2019-05-22 |
| 1427406552 | County of Ingham | Clinic/Center | 3900 Stabler St, Lansing, MI 48910-4567 | 2016-05-31 |
| 1174996714 | County of Ingham | Public Health or Welfare | 626 Marshall St, Lansing, MI 48912-2309 | 2015-11-04 |
| 1053539460 | County of Ingham | Clinic/Center | 306 W Willow St, Lansing, MI 48906-4740 | 2007-04-23 |
| 1568560308 | County of Ingham | Clinic/Center | 5303 S Cedar, Lansing, MI 48911-3800 | 2006-09-20 |
| 1679120810 | County of Ingham | Public Health or Welfare | 3900 Stabler St, Lansing, MI 48910-4567 | 2019-08-22 |
| 1487201620 | County of Ingham | Public Health or Welfare | 333 Dahlia Dr, Lansing, MI 48911-3789 | 2019-08-22 |
| 1902453145 | County of Ingham | Public Health or Welfare | 815 N Fairview Ave, Lansing, MI 48912-3129 | 2019-08-22 |
| 1700431632 | County of Ingham | Clinic/Center | 626 Marshall St, Lansing, MI 48912-2309 | 2019-08-07 |
| 1407378227 | County of Ingham | Public Health or Welfare | 430 N Larch St, Lansing, MI 48912-1266 | 2017-07-13 |
| Street Address |
333 DAHLIA DR |
| City | LANSING |
| State | MI |
| Zip Code | 48911-3789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487201620 | County of Ingham | Public Health or Welfare | 333 Dahlia Dr, Lansing, MI 48911-3789 | 2019-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943603 | Promissa Personalized Care Services LLC | Assisted Living Facility | 200 E Edgewood Blvd, Lansing, MI 48911 | 2020-05-07 |
| 1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
| 1447713946 | Fadi Nuseibeh | Pharmacist | 3955 Patient Care Drive, Pharmacy, Lansing, MI 48911 | 2019-04-11 |
| 1740704543 | Kyle Lardie | Dental Hygienist | Care Free Medical and Dental 5135 S Pennsylvania Ave, Lansing, MI 48911 | 2017-08-02 |
| 1124549845 | Joash Michael Charles | Behavior Technician | 3720 Richmond Street, Lansing, MI 48911 | 2017-07-03 |
| 1205212164 | Benjamin Curtis Neal | Dentist | 5601 S Cedar St., Lansing, MI 48911 | 2015-08-03 |
| 1376927608 | Heather Lamb | Home Health | 2919 Risdale St, Lansing, MI 48911 | 2015-07-16 |
| 1669861712 | Lucas James Evan Joseph Bila | Licensed Practical Nurse | 2204 S. Wadsworth Dr, Lansing, MI 48911 | 2015-01-13 |
| 1649695271 | Aaron James Hart | Occupational Therapist | 3960 Patient Care Dr Ste 117, Lansing, MI 48911 | 2014-02-18 |
| 1831465871 | Los Equipment Corporation | Dentist | 6810 S. Cedar St, Suite 5, Lansing, MI 48911 | 2012-03-23 |
| Find all providers in zip 48911 | ||||
| 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 |
|---|---|---|---|---|
| 1558928747 | County of Ingham | Clinic/Center | 815 N Fairview Ave, Lansing, MI 48912-3129 | 2019-05-22 |
| 1427406552 | County of Ingham | Clinic/Center | 3900 Stabler St, Lansing, MI 48910-4567 | 2016-05-31 |
| 1750619680 | Christian Community Health Center | Clinic/Center | 2320 Thornton Lansing Rd, Lansing, IL 60438-2116 | 2009-12-04 |
| 1053539460 | County of Ingham | Clinic/Center | 306 W Willow St, Lansing, MI 48906-4740 | 2007-04-23 |
| 1568560308 | County of Ingham | Clinic/Center | 5303 S Cedar, Lansing, MI 48911-3800 | 2006-09-20 |
| 1700431632 | County of Ingham | Clinic/Center | 626 Marshall St, Lansing, MI 48912-2309 | 2019-08-07 |
| 1326560145 | County of Ingham | Clinic/Center | 430 N Larch St Ste 1, Lansing, MI 48912-1283 | 2017-07-13 |
| 1518339654 | County of Ingham | Clinic/Center | 2316 S Cedar St, Lansing, MI 48910-3152 | 2015-10-28 |
| 1710386776 | County of Ingham | Clinic/Center | 1115 S Pennsylvania Ave, Lansing, MI 48912-1669 | 2014-08-15 |
| 1437402534 | County of Ingham | Clinic/Center | 220 N Pennsylvania Ave, Lansing, MI 48912-1515 | 2012-10-26 |
| Find all providers in LANSING | ||||
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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.