Organization Active NPI

The Dr. Albert B. Cleage, Sr. Memorial Health Center

  • Primary Care Clinic/Center
  • Detroit, MI
National Provider Identifier
1124226428
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
793834 Issued in MI
Legal business name
THE DR. ALBERT B. CLEAGE, SR. MEMORIAL HEALTH CENTER
Practice address
700 Seward St
Detroit, MI 48202-2427
Phone
(313) 874-1300
Fax
(313) 874-3140
NPI assigned
Jul 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Ms. Melanie Roby
Title
President, Ceo
Phone
(313) 874-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 793834 MI Primary

Addresses

Primary practice location

700 Seward St
Detroit, MI 48202-2427

Mailing address

700 Seward St
Detroit, MI 48202-2427
Phone (313) 874-1300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1124226428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SEWARD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022427",
            "telephone_number": "313-874-1300",
            "fax_number": "313-874-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SEWARD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022427",
            "telephone_number": "313-874-1300",
            "fax_number": "313-874-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DR. ALBERT B. CLEAGE, SR. MEMORIAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-07",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "ROBY",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "313-874-1300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "793834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.