Healthcare Provider Details

I. General information

NPI: 1033220157
Provider Name (Legal Business Name): CAREFIRST COMMUNITY HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 02/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8097 DECATUR ST
DETROIT MI
48228-2721
US

IV. Provider business mailing address

8097 DECATUR ST
DETROIT MI
48228-2721
US

V. Phone/Fax

Practice location:
  • Phone: 313-846-5020
  • Fax: 313-846-3468
Mailing address:
  • Phone: 313-846-5020
  • Fax: 313-846-3468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. DAISY BARLOW-SMITH
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MSW
Phone: 313-846-5020