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NPI Code Detail

MEDICARE: COMMUNITY HEALTH AND SOCIAL SERVICES CENTER, INC.

MEDICARE: COMMUNITY HEALTH AND SOCIAL SERVICES CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0002XClinic Pharmacy5301006207MI

General Provider Information

NPI Number : 1275617599
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HEALTH AND SOCIAL SERVICES CENTER, INC.
Provider Business Mailing Address
First Line : 5635 W FORT ST
Second Line :
City : DETROIT
State : MI
Zip : 48209-3154
Country : US
Telephone Number : 313-849-3920
Fax Number : 313-849-0824
Provider Business Practice Location Address
First Line : 5635 W FORT ST
Second Line :
City : DETROIT
State : MI
Zip : 48209-3154
Country : US
Telephone Number : 313-849-3920
Fax Number : 313-849-0824
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : FELIX M VALBUENA
Credential : MD
Telephone Number : 313-849-3920
Provider Enumeration Date : 10/24/2006
Last Update Date : 08/08/2024

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Directions to “COMMUNITY HEALTH AND SOCIAL SERVICES CENTER, INC. ” Practice Location

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