WESTERN WAYNE FAMILY HEALTH CENTERS (NPI# 1972530277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972530277 |
| Entity Type | Organization |
| Organization Name | WESTERN WAYNE FAMILY HEALTH CENTERS |
| Practice Address |
2700 Hamlin Blvd Inkster MI 48141-2206 |
| Practice Telephone | 3135615100 |
| Practice Fax Number | 3135650309 |
| Mailing Telephone | 3135615100 |
| Mailing Fax Number | 3135650309 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2015-10-28 |
| Authorized Official Name | MS. LINDA ATKINS (CEO) |
| Authorized Official Telephone | 3135615100 |
| 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 | BCBS | 700H228520 | 01 |
| MI | 1972530277 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649820986 | Western Wayne Family Health Centers | Clinic/Center | 4700 Schaefer Rd, Dearborn, MI 48126-3655 | 2019-09-18 |
| 1184018210 | Western Wayne Family Health Centers | Clinic/Center | 26650 Eureka Rd, Suite C-1, Taylor, MI 48180-4835 | 2015-03-26 |
| 1922492040 | Western Wayne Family Health Centers | Clinic/Center | 2700 Hamlin Blvd, Inkster, MI 48141 | 2015-03-26 |
| 1053705269 | Western Wayne Family Health Centers | Clinic/Center | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2015-03-25 |
| 1508280116 | Western Wayne Family Health Centers | Clinic/Center | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2014-02-18 |
| 1023250412 | Western Wayne Family Health Centers | Clinic/Center | 26650 Eureka Rd, Suite C-1, Taylor, MI 48180-4835 | 2009-03-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WESTERN WAYNE FAMILY HEALTH CENTERS | 2700 Hamlin Rd, Inkster, MI 48141-2206 |
| Street Address |
2700 HAMLIN BLVD |
| City | INKSTER |
| State | MI |
| Zip Code | 48141-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538791678 | Amanda Morgan Rollend | Social Worker | 2700 Hamlin Blvd, Inkster, MI 48141-2206 | 2020-02-06 |
| 1467083113 | Cheryl Johnson | Social Worker | 2700 Hamlin Blvd, Inkster, MI 48141-2206 | 2020-01-31 |
| 1922639277 | Sara Therese Thompson | Social Worker | 2700 Hamlin Blvd, Inkster, MI 48141-2206 | 2020-01-27 |
| 1629627328 | Brooklyn M Dolloff | Psychologist | 2700 Hamlin Blvd, Inkster, MI 48141-2206 | 2019-09-05 |
| 1184187981 | Ava Mignon Miller | Dental Hygienist | 2700 Hamlin Blvd, Inkster, MI 48141-2206 | 2019-04-09 |
| 1629535885 | Geena Rose Osowski | Social Worker | 2700 Hamlin Blvd, Inkster, MI 48141-2206 | 2019-02-25 |
| 1316411309 | Dominique Sherie Crump | Social Worker | 2700 Hamlin Blvd, Inkster, MI 48141-2206 | 2019-01-14 |
| 1962976001 | Nya E Greenstone | Social Worker | 2700 Hamlin Blvd, Inkster, MI 48141-2206 | 2019-01-11 |
| 1396219465 | Meheret Kassa | Social Worker | 2700 Hamlin Blvd, Inkster, MI 48141-2206 | 2019-01-11 |
| 1801377296 | Anna Wellemeyer | Social Worker | 2700 Hamlin Blvd, Inkster, MI 48141-2206 | 2018-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942776968 | Hollywood Pharmacy Group LLP | Pharmacy | 26831 Michigan Ave, Inkster, MI 48141 | 2018-10-17 |
| 1851872279 | Gillian Margaret Clifford | Nurse Practitioner | Western Wayne Family Health Centers, 2700 Hamlin Blvd., Inkster, MI 48141 | 2018-08-23 |
| 1053805119 | Audrey K Logan | Technician/Technologist | 1403 Inkster Road, Inkster, MI 48141 | 2018-06-21 |
| 1326555830 | Catherine Marie Wahl | Student in an Organized Health Care Education/Training Program | 2700 Hamlin Drive, Inkster, MI 48141 | 2018-01-05 |
| 1659899623 | Martin Unachukwu | Licensed Practical Nurse | 3650 Farnum St., Inkster, MI 48141 | 2017-08-30 |
| 1376063669 | Orlando Robinson | In Home Supportive Care | 26144 Princeton, Inkster, MI 48141 | 2017-06-27 |
| 1518402973 | Jane Stanton | Student in an Organized Health Care Education/Training Program | 30000 Hiveley, Inkster, MI 48141 | 2016-12-21 |
| 1730538646 | Dawn Rucker | Technician, Other | 29970 Oakwood St., Inkster, MI 48141 | 2016-06-10 |
| 1861840571 | Jacqueline Nicole Kisse | Social Worker | 30000 Hiveley Road, Inkster, MI 48141 | 2016-06-03 |
| 1598134652 | Missionary Daughters of The Eternal Father | Home Health | 219 Cherry Hill Trail, Apt: 202, Inkster, MI 48141 | 2015-09-18 |
| Find all providers in zip 48141 | ||||
| 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.