NPIMap

Organization Active NPI

Western Wayne Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Taylor, MI
National Provider Identifier
1023250412
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WESTERN WAYNE FAMILY HEALTH CENTERS
Practice address
26650 Eureka Rd
Suite C-1
Taylor, MI 48180-4835
Phone
(734) 941-4991
Fax
(734) 941-4919
NPI assigned
Mar 31, 2009
Organization subpart
Yes
Parent organization
WESTERN WAYNE FAMILY HEALTH CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Linda Atkins
Title
Ceo
Phone
(734) 941-4991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X MI Primary

Addresses

Primary practice location

26650 Eureka Rd
Suite C-1
Taylor, MI 48180-4835

Mailing address

26650 Eureka Rd
Suite C-1
Taylor, MI 48180-4835
Phone (734) 941-4991

Other identifiers 3

IdentifierTypeStateIssuer
700H249990OtherBCBSM
500H249980OtherMIBCBS
1023250412MedicaidMI

Other names 1

  • Western Wayne Family Health Centers - Taylor Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060926000287 MI Part B Supplier - Clinic/Group Practice 4082617998 Receives reassigned benefits from 43 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dearborn, MI; Ecorse, MI; Inkster, MI; Lincoln Park, MI; Taylor, MI
O20090527000261 MI Part A Provider - Federally Qualified Health Center (FQHC) 4082617998 Practice locations: Taylor, MI

Federally qualified health center certification: CCN 231943

Legal name
WESTERN WAYNE FAMILY HEALTH CENTERS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 30, 2009
Last certification
Jun 30, 2009
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Nov 2, 2004 in MI
Enrollment address
26650 Eureka Rd
Taylor, MI 48180-4835

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Western Wayne FH Centers7 organizations share this tax ID, including this one
Part of
Western Wayne FH Centers

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17288/brand/1/csg/1/fhir/r4

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Saif Alsenad Individual Corporate Director Oct 1, 2023
Melissa Stellini Individual Corporate DirectorSecretary Dec 1, 2018
Walter Starghill Individual Corporate OfficerChairman Apr 21, 2011
Linda Atkins Individual Corporate Director Jun 1, 2009
W-2 Managing EmployeeCeo Jun 1, 2009
Arnold Gregory Individual Corporate Director Aug 1, 2022
Steven D Smith Individual Corporate Director Nov 3, 2021
Rachel M Cushman Individual Corporate Director Aug 1, 2022
Christina Arnold Individual Corporate Director Aug 1, 2013
William Miller Individual Corporate DirectorTreasurer Sep 1, 2014
Velma Jean Overman Individual Corporate DirectorVice Chairperson Mar 28, 2013
Carlotta Mitchell Individual Corporate Director Nov 21, 2023
Anita Goree Individual Corporate DirectorTreasurer Feb 1, 2018

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1023250412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26650 EUREKA RD",
            "address_2": "SUITE C-1",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804835",
            "telephone_number": "734-941-4991",
            "fax_number": "734-941-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26650 EUREKA RD",
            "address_2": "SUITE C-1",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804835",
            "telephone_number": "734-941-4991",
            "fax_number": "734-941-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN WAYNE FAMILY HEALTH CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN WAYNE FAMILY HEALTH CENTERS",
        "enumeration_date": "2009-03-31",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-941-4991",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "700H249990",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "500H249980",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023250412",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Wayne Family Health Centers - Taylor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.