Healthcare Provider Details

I. General information

NPI: 1811065576
Provider Name (Legal Business Name): FAMILY HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 10/04/2024
Certification Date: 10/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 W PATERSON STREET
KALAMAZOO MI
49007-2557
US

IV. Provider business mailing address

117 W PATERSON STREET
KALAMAZOO MI
49007-2557
US

V. Phone/Fax

Practice location:
  • Phone: 269-349-2641
  • Fax: 269-488-8101
Mailing address:
  • Phone: 269-349-2641
  • Fax: 269-488-8101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MS. DENISE R CRAWFORD
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 269-349-4257