PACKARD HEALTH, INC. (NPI# 1851769053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851769053 |
| Entity Type | Organization |
| Organization Name | PACKARD HEALTH, INC. |
| Practice Address |
312 W Huron St Ann Arbor MI 48103-4204 |
| Mailing Address |
3174 Packard St Ann Arbor MI 48108-1947 |
| Practice Telephone | 7346622829 |
| Mailing Telephone | 7349711073 |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |
| Authorized Official Name | MARK J JACOBY (CFO) |
| Authorized Official Telephone | 7349264938 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609988245 | Packard Health, Inc. | Clinic/Center | 3174 Packard Rd., Ann Arbor, MI 48108 | 2006-08-31 |
| 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 |
312 W HURON ST |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48103-4204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770680167 | Shelter Association of Washtenaw | Voluntary or Charitable | 312 W Huron St, Ann Arbor, MI 48103-4204 | 2006-09-20 |
| 1144478769 | Susan Anne Bell | Nurse Practitioner | 312 W Huron St, Shelter Association of Washtenaw County, Ann Arbor, MI 48103-4204 | 2008-09-08 |
| 1528283512 | Tsui-sui Annie Kao | Nurse Practitioner | 312 W Huron St, Ann Arbor, MI 48103-4204 | 2007-04-16 |
| 1609957745 | Chin Hwa Yi Dahlem | Nurse Practitioner | 312 W Huron St, Ann Arbor, MI 48103-4204 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839343 | Melissa Sylvia Danan Rilko | Social Worker | 1775 Timber Trail, Ann Arbor, MI 48103 | 2020-04-16 |
| 1427602929 | Ashwini Gulwadi, Pllc | Psychiatry & Neurology | 2100 S Main Street, Suite A, Unit 4, Ann Arbor, MI 48103 | 2019-08-01 |
| 1225593155 | Brent Aaron Reeve | Chiropractor | 203 S. Zeeb Rd., Suite 106, Ann Arbor, MI 48103 | 2019-02-05 |
| 1548746779 | Loren Camano Shkolnik | Registered Nurse | 3200 W Liberty Rd Ste C5, Ann Arbor, MI 48103 | 2018-07-11 |
| 1982193256 | Jacob B Nienhuis | Psychologist | 4488 Jackson Rd Ste 7b, Ann Arbor, MI 48103 | 2018-05-02 |
| 1053818633 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 380 Parkland Plz Ste 210, Ann Arbor, MI 48103 | 2018-04-10 |
| 1376052647 | Shivika Verma | Dentist | 3071 Signature Blvd, Apartment #f, Ann Arbor, MI 48103 | 2017-09-29 |
| 1881118206 | Harrison Udensi Igwe | Clinic/Center | 522 South Maple Stree, Ann Arbor, MI 48103 | 2017-07-27 |
| 1841727641 | Kathleen Murphy | Psychologist | 4141 Woodland Drive, Ann Arbor, MI 48103 | 2017-05-11 |
| 1972037133 | Jonathan Broek | Dietitian, Registered | 2920 Lakeview Dr, Ann Arbor, MI 48103 | 2017-04-14 |
| Find all providers in zip 48103 | ||||
| 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 |
|---|---|---|---|---|
| 1518459585 | Alcona Citizens for Health, Inc | Clinic/Center | 5340 Plymouth Rd Ste 202, Ann Arbor, MI 48105-9341 | 2018-06-05 |
| 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 |
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| 1326654666 | Family Medical Center of Michigan,inc | Clinic/Center | 550 E Main St Ste 1001, Hudson, MI 49247-9535 | 2020-09-22 |
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| 1679195721 | Family Medical Center of Michigan,inc | Clinic/Center | 2740 Collingwood St Ste 100, Detroit, MI 48206-1473 | 2020-05-12 |
| 1235750571 | Great Lakes Bay Health Centers | Clinic/Center | 2300 Veterans Memorial Pkwy, Saginaw, MI 48601-1268 | 2020-04-28 |
| 1053948265 | Upper Great Lakes Family Health Center | Clinic/Center | 1414 W Fair Ave Ste 242, Marquette, MI 49855-5406 | 2020-03-26 |
| 1568096923 | Grace Health, Inc. | Clinic/Center | 825 Capital Ave Ne, Battle Creek, MI 49017-5605 | 2020-02-25 |
| 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.