NPIMap

Organization Active NPI

Hamilton Community Health Network Inc.

Doing business as Hamilton Homeless Center

  • Federally Qualified Health Center (FQHC)
  • Flint, MI
National Provider Identifier
1033619861
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HAMILTON COMMUNITY HEALTH NETWORK INC.
Doing business as
Hamilton Homeless Center
Practice address
812 Root St
Ste 106
Flint, MI 48503
Phone
(810) 789-9141
NPI assigned
Feb 19, 2018
Last updated
Jan 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Authorized official

Name
Clarence R. Pierce
Title
Ceo
Phone
(810) 406-4912

Specialties & licenses 1

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

Addresses

Primary practice location

812 Root St
Ste 106
Flint, MI 48503

Mailing address

225 E 5TH St Ste 300
Flint, MI 48502-1641
Phone (810) 406-4912

Other names 1

  • Hamilton Homeless Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180403002527 MI Part A Provider - Federally Qualified Health Center (FQHC) 1254249196 Practice locations: Flint, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033619861. Details of each certification follow.

Federally qualified health center certification: CCN 231128

Legal name
HAMILTON COMMUNITY HEALTH NETWORK INC
Doing business as
HAMILTON COMMUNITY HEALTH NETWORK, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 2, 2018
Last certification
Apr 2, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1982 in MI
Enrollment address
812 Root St
FL 2
Flint, MI 48503-1516

Other NPIs with the same Medicare PAC ID 9

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2145820Hamilton Community Health Network, Inc812 Root Street, Flint, MI 48503Certificate of waiverMar 15, 2028

National Provider Directory

National Provider Directory
Tax ID family
Hamilton Community HLTH Inc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

812 Root St
#2
Flint, MI 48503

812 Root St
Ste 106
Flint, MI 48503
Phone (810) 789-9141

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Dana Manns Individual W-2 Managing EmployeeCfo Sep 23, 2022
Michael J Giacalone Individual Corporate DirectorCmo Dec 30, 2005 100%
Christine Gleason Individual Corporate OfficerBoard Member Oct 1, 2011
Clarence R. Pierce Individual Corporate DirectorCeo May 30, 2006 100%
Operational/Managerial ControlCeo Jun 1, 2006 100%
David Bloom Individual Corporate OfficerBoard Member Jan 16, 2016
Archie Leflore Individual Corporate OfficerBoard Member Jul 1, 1982
Nancy Rich Individual Corporate OfficerSecretary Nov 1, 2003
Ronald Stamps Individual Corporate OfficerVice President Dec 1, 2008
Gloria Quinney Individual Corporate OfficerTreasurer Jan 1, 1999
Henry Hatter Individual Corporate OfficerBoard Member Aug 1, 2000
George Wilkinson Individual Corporate OfficerBoard Member Jan 16, 2016

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hamilton Community Health Network IncFlint, MI, CCN 231167 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1983
Hamilton Community Health Network, Inc.Whitmore Lake, MI, CCN C71025 Federally qualified health center Operational/Managerial Control Apr 1, 2024
Hamilton Community Health Network IncBurton, MI, CCN C71046 Federally qualified health center Operational/Managerial Control Aug 10, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1033619861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 5TH ST STE 300",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021641",
            "telephone_number": "810-406-4912",
            "fax_number": "810-424-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 ROOT ST",
            "address_2": "STE 106",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48503",
            "telephone_number": "810-789-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON COMMUNITY HEALTH NETWORK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-19",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "810-406-4912"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamilton Homeless Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.