PACKARD HEALTH, INC. (NPI# 1962879890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962879890 |
| Entity Type | Organization |
| Organization Name | PACKARD HEALTH, INC. |
| Practice Address |
200 Arnet St Ypsilanti MI 48198-5753 |
| Mailing Address |
3174 Packard St Ann Arbor MI 48108-1947 |
| Practice Telephone | 7349857200 |
| Practice Fax Number | 7349758953 |
| Mailing Telephone | 7349711073 |
| Mailing Fax Number | 7349260124 |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2016-01-26 |
| 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 |
| 1851769053 | Packard Health, Inc. | Clinic/Center | 312 W Huron St, Ann Arbor, MI 48103-4204 | 2015-09-04 |
| 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 |
200 ARNET ST |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48198-5753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871591883 | Vincent David Dinick | Plastic Surgery | 200 Arnet St, Ste. 180, Ypsilanti, MI 48198-5753 | 2005-07-13 |
| 1245745298 | Sharnita D Harris | Psychologist | 200 Arnet St, Ypsilanti, MI 48198-5753 | 2017-12-12 |
| 1649790346 | Jonathan G Gabison | Family Medicine | 200 Arnet St, Ypsilanti, MI 48198-5753 | 2017-06-23 |
| 1508393976 | Kailyn Wiersma | Pediatrics | 200 Arnet St, Ypsilanti, MI 48198-5753 | 2017-05-17 |
| 1487189148 | David T Sanford | Pediatrics | 200 Arnet St, Ypsilanti, MI 48198-5753 | 2017-05-01 |
| 1861936965 | Molly Louise Hudson | Social Worker | 200 Arnet St, Suite 200, Ypsilanti, MI 48198-5753 | 2016-12-07 |
| 1316494370 | Sara Marasco | Social Worker | 200 Arnet St, Suite 200, Ypsilanti, MI 48198-5753 | 2016-09-07 |
| 1629420336 | Laura M. Crespo Albiac | Family Medicine | 200 Arnet St, Suite 200, Ypsilanti, MI 48198-5753 | 2016-07-06 |
| 1073965786 | Camila Diaz | Student in an Organized Health Care Education/Training Program | 200 Arnet St, Suite 200, Ypsilanti, MI 48198-5753 | 2016-07-06 |
| 1952758450 | Miho Eve Ito-navarro | Social Worker | 200 Arnet St, Ypsilanti, MI 48198-5753 | 2016-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840602 | Paxxon Healthcare Services LLC | Occupational Therapist | 8100 Geddes Road, Superior Township, MI 48198 | 2019-06-13 |
| 1053885137 | Justine Altman | Health Educator | 9855 High Meadow Dr., Ypsilanti, MI 48198 | 2019-01-11 |
| 1730650516 | Mark Neumann | Driver | 1233 Hull Ave, Ypsilanti, MI 48198 | 2018-12-05 |
| 1144703810 | Douglas John Pealer | Speech-Language Pathologist | 8100 Geddes Rd, Superior Charter Township, MI 48198 | 2018-09-10 |
| 1225520919 | Kathleen M Hartwell-king Iv | Nurse Practitioner | 315 Holmes Rd, Ypsilanti, MI 48198 | 2018-05-30 |
| 1205354339 | Kawana Young | Home Health | 1811 George Ave, Ypsilanti, MI 48198 | 2017-09-09 |
| 1477009173 | Brittney Thomas | Technician, Other | 1431 Leforge Rd Apt 301, Ypsilant, MI 48198 | 2016-09-01 |
| 1528461167 | Emily Purdey | Social Worker | 8604 Pine Ct, Ypsilanti, MI 48198 | 2014-09-26 |
| 1063812550 | Harry Lee Hampton Jr. | Driver | 868 Allen St, Ypsilanti, MI 48198 | 2014-09-03 |
| 1073932760 | Ed Mcswain | Counselor | 6633 Stoney Creek Rd, Ypsilanti, MI 48198 | 2014-04-10 |
| Find all providers in zip 48198 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.