CENTER FOR FAMILY HEALTH (NPI# 1780784439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780784439 |
| Entity Type | Organization |
| Organization Name | CENTER FOR FAMILY HEALTH |
| Practice Address |
505 N Jackson St Jackson MI 49201-1266 |
| Practice Telephone | 5177485500 |
| Practice Fax Number | 5177832728 |
| Mailing Telephone | 5177485500 |
| Mailing Fax Number | 5177832728 |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2011-08-26 |
| Authorized Official Name | MRS. MICHELLE MAYO (PATIENT ACCOUNTS MANAGER) |
| Authorized Official Telephone | 5177485500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MI | Allopathic & Osteopathic Physicians | |
| N | 207V00000X | Obstetrics & Gynecology | MI | Allopathic & Osteopathic Physicians | |
| N | 208000000X | Pediatrics | MI | Allopathic & Osteopathic Physicians | |
| N | 207Q00000X | Family Medicine | MI | Allopathic & Osteopathic Physicians | |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
MI | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
MI | Behavioral Health & Social Service Providers | |
| N | 364SW0102X |
Clinical Nurse Specialist Specialization: Women's Health |
MI | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
MI | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363A00000X | Physician Assistant | MI | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 1223G0001X |
Dentist Specialization: General Practice |
MI | Dental Providers | |
| N | 124Q00000X | Dental Hygienist | MI | Dental Providers | |
| N | 126800000X | Dental Assistant | MI | Dental Providers | |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
MI | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM GROUP NUMBER | 700C810070 | 01 |
| MI | BCBSM DENTAL GROUP PROV | 00D8005290 | 01 |
| MI | BCBSM GROUP ID | 500C807070 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922171479 | Center for Family Health | Social Worker | 1024 Fleming Ave, Jackson, MI 49202-2536 | 2006-11-15 |
| 1497825939 | Center for Family Health | Internal Medicine | 2400 4th St, Jackson, MI 49203-4573 | 2006-11-09 |
| 1255724027 | Center for Family Health | Dentist | 505 N Jackson St, Jackson, MI 49201-1266 | 2015-03-18 |
| 1144634775 | Center for Family Health | Family Medicine | 240 W Carleton Rd, Hillsdale, MI 49242-5034 | 2014-06-11 |
| 1679905376 | Center for Family Health | Family Medicine | 6700 Rives Junction Rd, Jackson, MI 49201-7448 | 2013-08-05 |
| 1124369970 | Center for Family Health | Family Medicine | 1200 N West Ave, Jackson, MI 49202-2179 | 2013-03-04 |
| 1700156999 | Center for Family Health | Social Worker | 505 N Jackson St, Jackson, MI 49201-1266 | 2012-01-05 |
| 1306137161 | Center for Family Health | Pharmacy | 505 N Jackson St, Jackson, MI 49201-1266 | 2011-04-28 |
| 1043509557 | Center for Family Health | Internal Medicine | 505 N Jackson St, Jackson, MI 49201-1266 | 2011-04-05 |
| 1366740342 | Center for Family Health | Social Worker | 544 Wildwood Ave, Jackson, MI 49201-1013 | 2011-03-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTER FOR FAMILY HEALTH | 505 N Jackson St, Jackson, MI 49201-1266 |
| System for Award Management (SAM) Entities | CENTER FOR FAMILY HEALTH & EDUCATION, INC. | 8727 Van Nuys Blvd #101,102,103,201,203, Panorama City, CA 91402-2451 |
| System for Award Management (SAM) Entities | CENTER FOR FAMILY HEALTH RESEARCH | 57 Kk 19 Avenue, Building 2, Kigali, , RWA |
| Street Address |
505 N JACKSON ST |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-1266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357055 | Miraflor Reyes | Pediatrics | 505 N Jackson St, Jackson, MI 49201-1266 | 2005-06-28 |
| 1205441193 | Alexis Roe | Pharmacist | 505 N Jackson St, Jackson, MI 49201-1266 | 2020-09-09 |
| 1760004824 | Heather Rae Shoffstall Mcalvey | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2020-05-12 |
| 1003456955 | Karen Lizeth Hernandez Martinez | Social Worker | 505 N Jackson St, Jackson, MI 49201-1266 | 2020-01-08 |
| 1720552078 | Leon Puttler | Psychologist | 505 N Jackson St, Jackson, MI 49201-1266 | 2019-01-18 |
| 1265918924 | Jenna Prater | Pharmacist | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-16 |
| 1467938449 | Jaskarandeep Singh | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-13 |
| 1215423744 | Gurpinderjit Virk | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-09 |
| 1528554052 | Supreet Bains | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-09 |
| 1053807578 | Mahad Rayale | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033455852 | Global Treatment Clinic of Jackson LLC | Clinic/Center | 2460 Terry Rd, Suite 800, Jackson, MS 39204-5767 | 2012-12-26 |
| 1164652962 | The Steets Corporation | Clinic/Center | 3566 N Highland Ave, Suite A, Jackson, TN 38305-7890 | 2009-07-15 |
| 1568628980 | Mall Services, LLC | Clinic/Center | 2050 Martin Luther King Jr Dr, Jackson, MS 39203-1030 | 2008-08-05 |
| 1841456472 | Mall Services, LLC | Clinic/Center | 1066 Wiggins Road, Jackson, MS 39209 | 2008-08-04 |
| 1295727287 | Mact Health Board, Inc. | Clinic/Center | 12140/12150 New York Ranch Rd, Jackson, CA 95642-9407 | 2005-08-17 |
| 1396929907 | Neighborhood Medical Services, LLC | Clinic/Center | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 | 2007-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093365835 | Sacred Heart Rehabilitation Center | Clinic/Center | 22256 Marine Ave, Eastpointe, MI 48021-2634 | 2019-09-13 |
| 1124677265 | Sacred Heart Rehabilitation Center | Clinic/Center | 23099 David Ave, Eastpointe, MI 48021-1826 | 2019-09-11 |
| 1699324731 | Sacred Heart Rehabilitation Center | Clinic/Center | 1504 E Greig Ave, Madison Heights, MI 48071-3826 | 2019-09-11 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1376100479 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd, D - 5, Community Health, Southfield, MI 48033-3849 | 2019-05-23 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1013410596 | Our Wellness Hub | Clinic/Center | 17401 E 10 Mile Rd, Eastpointe, MI 48021-1256 | 2018-03-12 |
| 1235648700 | Sacred Heart Rehabilitation Center | Clinic/Center | 329 Butternut St, Benton Harbor, MI 49022-2922 | 2017-09-27 |
| 1326427162 | Holistic Healer & Wellness Center Inc | Clinic/Center | 3998 Clippert St, Dearborn Hts, MI 48125-2731 | 2015-05-27 |
| Find all providers with the same taxonomy | ||||
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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.