Healthcare Provider Details

I. General information

NPI: 1194922906
Provider Name (Legal Business Name): CENTER FOR FAMILY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 SPRINGPORT RD
JACKSON MI
49202-1432
US

IV. Provider business mailing address

PO BOX 548
JACKSON MI
49204-0548
US

V. Phone/Fax

Practice location:
  • Phone: 517-784-3950
  • Fax: 517-783-2728
Mailing address:
  • Phone: 517-784-3950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: SHERYL MCCORMICK
Title or Position: PATIENT ACCOUNT MANAGER
Credential:
Phone: 517-784-3950