NPIMap

Organization Active NPI

Lutheran Child and Family Service of Michigan

  • Community/Behavioral Health Agency
  • Bay City, MI
National Provider Identifier
1063409480
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4422590 Issued in MI
Legal business name
LUTHERAN CHILD AND FAMILY SERVICE OF MICHIGAN
Practice address
6019 Westside Saginaw Rd
Bay City, MI 48706-9357
Phone
(989) 686-7650
Fax
(989) 686-7688
NPI assigned
Sep 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Ms. Janine A Jankowski
Title
Accounting Clerk
Phone
(989) 686-7650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4422590 MI Primary

Addresses

Primary practice location

6019 Westside Saginaw Rd
Bay City, MI 48706-9357

Mailing address

6019 Westside Saginaw Rd
P.O. Box 48
Bay City, MI 48706-9357
Phone (989) 686-7650

Other identifiers 5

IdentifierTypeStateIssuer
3270805MedicaidMI
4422590MedicaidMI
2931909MedicaidMI
4611177MedicaidMI
4587821MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Child and Family Service of Michigan2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

6019 Westside Saginaw Rd
Bay City, MI 48706
Phone (989) 686-7650

30600 Telegraph Rd
Ste 4290
Bingham Farms, MI 48025

300 W Washington Ave
Ste 405
Jackson, MI 49201

1715 Sutherland Dr SE
Kentwood, MI 49508
Phone (616) 281-4601

Practitioners & affiliated clinicians

Practitioners 8

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": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1063409480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 WESTSIDE SAGINAW RD",
            "address_2": "P.O. BOX 48",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069357",
            "telephone_number": "989-686-7650",
            "fax_number": "989-686-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 WESTSIDE SAGINAW RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069357",
            "telephone_number": "989-686-7650",
            "fax_number": "989-686-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN CHILD AND FAMILY SERVICE OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "JANKOWSKI",
        "authorized_official_first_name": "JANINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ACCOUNTING CLERK",
        "authorized_official_telephone_number": "989-686-7650",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "4422590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3270805",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4422590",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2931909",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4611177",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4587821",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.