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NPI Code Detail

MEDICARE: CENTER FOR FAMILY HEALTH

MEDICARE: CENTER FOR FAMILY HEALTH
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
11223D0001XPublic Health Dentistry2901008781MI
2261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1588722300
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR FAMILY HEALTH
Provider Business Mailing Address
First Line : 505 N JACKSON ST
Second Line :
City : JACKSON
State : MI
Zip : 49201-1266
Country : US
Telephone Number : 517-748-5500
Fax Number : 517-783-2728
Provider Business Practice Location Address
First Line : 500 N JACKSON ST
Second Line :
City : JACKSON
State : MI
Zip : 49201-1223
Country : US
Telephone Number : 517-748-5500
Fax Number : 517-780-9286
Authorized Official
Title or Position : MANAGER
Name : MRS. MICHELLE MAYO
Credential :
Telephone Number : 517-748-5500
Provider Enumeration Date : 12/05/2006
Last Update Date : 02/10/2022

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Directions to “CENTER FOR FAMILY HEALTH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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