MEDICARE: EAST JORDAN FAMILY HEALTH CENTER

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
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1669680187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST JORDAN FAMILY HEALTH CENTER

Provider Business Mailing Address
First Line	:	7960 W OLD STATE RD
Second Line	:
City	:	CENTRAL LAKE
State	:	MI
Zip	:	49622-5149
Country	:	US
Telephone Number	:	231-544-3700
Fax Number	:

Provider Business Practice Location Address
First Line	:	7960 W. OLD STATE ROAD
Second Line	:
City	:	CENTRAL LAKE
State	:	MI
Zip	:	49622
Country	:	US
Telephone Number	:	231-544-3700
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DANIEL MCKINNON
Credential	:
Telephone Number	:	231-536-2206

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	12/22/2025

Similar Medicare Providers

1184720856 — MR. DAVID LEE DIBBLE DDS
Practice Location Address:

2550 N MAIN ST
CENTRAL LAKE, MI
49622

Practice Phone: 231-544-8115
Practice Fax:

1508958273 — DAVID DIBBLE DDS PC
Practice Location Address:

2550 N MAIN STREET
CENTRAL LAKE, MI
49622

Practice Phone: 231-544-8115
Practice Fax: 231-544-6012

1235272568 — CENTRAL LAKE PHARMACY INC
Practice Location Address:

2424 N MAIN STREET
CENTRAL LAKE, MI
49622-0425

Practice Phone: 231-544-2929
Practice Fax: 231-544-5408

1932347499 — MR. KIM EDWARD FORSTER R.PH
Practice Location Address:

2424 N MAIN ST
CENTRAL LAKE, MI
49622-9271

Practice Phone: 231-544-2929
Practice Fax: 231-544-5408

1548400815 — MR. DUANE L CHAPPUIES
Practice Location Address:

2424 N MAIN ST
CENTRAL LAKE, MI
49622-9271

Practice Phone: 231-544-2929
Practice Fax: 231-544-5408

1619233376 — MS. KAREN ADKINS FERGUSON RPH
Practice Location Address:

3230 SUNSET TER
CENTRAL LAKE, MI
49622-9252

Practice Phone: 231-676-3432
Practice Fax:

Directions to “EAST JORDAN FAMILY HEALTH CENTER ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.