Active NPI
Blue Care Network of Mi
Doing business as Family Health Center of Blue Care Network
- Family Medicine Physician
- Lansing, MI
National Provider Identifier
1093842510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BLUE CARE NETWORK OF MI
- Doing business as
- Family Health Center of Blue Care Network
- Practice address
- 1401 S Creyts Rd
Lansing, MI 48917-8507 - Phone
- (517) 322-4000
- Fax
- (517) 322-4009
- NPI assigned
- Feb 28, 2007
- Last updated
- Apr 14, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marc D. Keshishian, M.D.
- Title
- Senior VP and Chief Medical Officer
- Phone
- (248) 799-6843
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1401 S Creyts Rd
Lansing, MI 48917-8507
Mailing address
1401 S Creyts Rd
Lansing, MI 48917-8507
Phone (517) 322-4000
Other names 1
- Family Health Center of Blue Care Network
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239667200000",
"number": "1093842510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 S CREYTS RD",
"city": "LANSING",
"state": "MI",
"postal_code": "489178507",
"telephone_number": "517-322-4000",
"fax_number": "517-322-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S CREYTS RD",
"city": "LANSING",
"state": "MI",
"postal_code": "489178507",
"telephone_number": "517-322-4000",
"fax_number": "517-322-4009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE CARE NETWORK OF MI",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2009-04-14",
"status": "A",
"authorized_official_last_name": "KESHISHIAN",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "SENIOR VP AND CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "248-799-6843",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Health Center of Blue Care Network",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lansing, MI
- Blessed Assurance Home Care LLC
- Linda Lee Blohm, LMSW
- Alicia Blondell
- Blooming Orchids Wellness
- Savannah Blow, LMSW
- Blue Care Network of Mi (Family Health Center of Blue Care Network)
- Blue Care Network of Michigan
- Blue Care Network of Michigan Pharmacy II
- Board of Trustees of Michigan State University
- Anna R Boateng, LLMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.