COUNTY OF INGHAM (NPI# 1710386776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710386776 |
| Entity Type | Organization |
| Organization Name | COUNTY OF INGHAM |
| Other Organization Name | WILLOW COMMUNITY HEALTH CENTER |
| Practice Address |
1115 S Pennsylvania Ave Lansing MI 48912-1669 |
| Mailing Address |
Po Box 30161 Lansing MI 48909-7661 |
| Practice Telephone | 5177023500 |
| Practice Fax Number | 5174845169 |
| Mailing Telephone | 5178874467 |
| Enumeration Date | 2014-08-15 |
| 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) |
MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE PTAN | 231041 | 01 |
| Other Name | Type Code |
|---|---|
| River Oak Community Health Center | Doing Business As Name - Organization |
| Willow Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679130942 | County of Ingham | Clinic/Center | 333 Dahlia Dr, Lansing, MI 48911-3789 | 2019-05-22 |
| 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 |
| Street Address |
1115 S PENNSYLVANIA AVE |
| City | LANSING |
| State | MI |
| Zip Code | 48912-1669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366580417 | George Roland Over | Physician Assistant | 1115 S Pennsylvania Ave, Lansing, MI 48912-1669 | 2007-02-01 |
| 1811504293 | Alyssa Platte | Social Worker | 1115 S Pennsylvania Ave, Lansing, MI 48912-1669 | 2020-09-29 |
| 1427426402 | County of Ingham | Clinic/Center | 1115 S Pennsylvania Ave, Lansing, MI 48912-1669 | 2015-09-09 |
| 1447584081 | American Current Care of Michigan, PC | Clinic/Center | 1115 S Pennsylvania Ave, Suite 101, Lansing, MI 48912-1669 | 2009-09-30 |
| 1821219445 | Patricia Andring | Nurse Practitioner | 1115 S Pennsylvania Ave, Lansing, MI 48912-1669 | 2007-05-01 |
| 1396883534 | Ramiro Nmn Daza | Family Medicine | 1115 S Pennsylvania Ave, Lansing, MI 48912-1669 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1568087237 | Ahmed Mohamed Haggag | Student in an Organized Health Care Education/Training Program | 1215 East Michigan Avenue 3rd Floor, Lansing, MI 48912 | 2020-06-09 |
| 1467074773 | Craig Hargurkirat Malli | Family Medicine | 1215 E Michigan Avenue Suite 245, Lansing, MI 48912 | 2020-05-08 |
| 1215558945 | Temmy J. Brotherson | Family Medicine | Sparrow Health Systems, 1200 E Michigan Avenues, Suite 245, Lansing, MI 48912 | 2020-05-05 |
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1316418841 | Andrea Mcswain Do PC | Obstetrics & Gynecology | 1909 E. Michigan Ave, Lansing, MI 48912 | 2018-12-10 |
| 1215386115 | Michael Vernon Hollis | Student in an Organized Health Care Education/Training Program | 1500 E Michigan Ave, Suite 655, Lansing, MI 48912 | 2016-06-10 |
| 1518333970 | Eastside Community Action Center | Social Worker | 1001 Dakin Street, Suite B, Lansing, MI 48912 | 2015-08-19 |
| 1649667403 | Cheryl Ann Wade | Counselor | 1712 E Michigan Ave., Lansing, MI 48912 | 2015-04-20 |
| 1083006134 | Carol Pratt | Occupational Therapist | 1200 E. Michigan Ave, Outpatient Rehab - Lower Level, Lansing, MI 48912 | 2015-02-26 |
| Find all providers in zip 48912 | ||||
| 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 |
|---|---|---|---|---|
| 1679130942 | County of Ingham | Clinic/Center | 333 Dahlia Dr, Lansing, MI 48911-3789 | 2019-05-22 |
| 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 |
| 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.