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NPI 1780784439 · live from the CMS NPI Registry

Center For Family Health

Clinic/Center, Federally Qualified Health Center (FQHC) in Jackson, MI. National Provider Identifier 1780784439, active.

NPI record

NPI1780784439 Type 2 · organization
StatusActive
Primary specialtyClinic/Center, Federally Qualified Health Center (FQHC) 261QF0400X
Practice location505 N Jackson St, Jackson, MI 49201
Practice phone517-748-5500
EnumeratedSeptember 23, 2006
Last updatedFebruary 10, 2022
Authorized officialMichelle Mayo, Patient Accounts Manager

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical1041C0700X— (MI)
Dentist, General Practice1223G0001X— (MI)
Dental Hygienist124Q00000X— (MI)
Dental Assistant126800000X— (MI)
Family Medicine207Q00000X— (MI)
Internal Medicine207R00000X— (MI)
Obstetrics & Gynecology207V00000X— (MI)
Pediatrics208000000X— (MI)
Clinic/Center, Community Health261QC1500X— (MI)
Physician Assistant363A00000X— (MI)
Nurse Practitioner, Adult Health363LA2200X— (MI)
Nurse Practitioner, Family363LF0000X— (MI)
Nurse Practitioner, Pediatrics363LP0200X— (MI)
Clinical Nurse Specialist, Women's Health364SW0102X— (MI)
Clinic/Center, Federally Qualified Health Center (FQHC) primary261QF0400X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.