Hamilton Community Health Network Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Flint, MI
NPI 1336213875 · NPPES record last updated Jan 8, 2021
Key facts
- NPI
- 1336213875
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- HAMILTON COMMUNITY HEALTH NETWORK INC.
- Practice address
- 5710 Clio Rd.
Flint, MI 48504-1524 - Phone
- (810) 785-4445
- Fax
- (810) 244-6029
- NPI assigned
- Nov 17, 2006
- Reactivated
- Sep 3, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Clarence R. Pierce, MS
- Title
- Ceo
- Phone
- (810) 406-4912
Owned or controlled facilities with NPI records 3
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 9
Corporate family (same tax ID) 15
Practitioners 48
-
Paholo Graziano Barboglio Romo, MD, MPH
-
Elaine Boyle, P.A.-C
-
Joseph R Burtch, DO
-
Brandi Jonee Buskirk, PA-C
-
Benjamin James Busuito, PA-C
-
Stephanie Cates, MSW
-
Huda M Elhwairis, M.D.
-
Krister Engja, PA-C
-
Keran Eudora Ernest, LMSW
-
Michael Giacalone Jr., M.D.
-
Keow Mei Goh, M.D.
-
David Hamaker, PA-C
-
Karen Hassell, FNP-BC, PMHNP-BC
-
Lindsey Allison Herrel, M.D.
-
Abbey Hilden, PA-C
-
Pamela Hopkins, AGNP
-
Nirlep Kaur, NP
-
Tonya Mary Lott, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Federally qualified health center certification: CCN 231880
- Legal name
- HAMILTON COMMUNITY HEALTH NETWORK INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Feb 28, 2001
- Last certification
- Feb 28, 2001
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 4, 1988 in MI
- Enrollment address
- 5710 Clio Road
Flint, MI 48504-1524
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Christine Gleason |
Corporate Director |
Jan 1, 2015 | |
| Clarence R. Pierce |
Corporate Officer |
May 15, 2008 | |
| W-2 Managing Employee |
May 15, 2008 | ||
| Nancy Rich |
Corporate Director |
Jan 1, 2015 | |
| Ronald Stamps |
Corporate Director |
Jan 1, 2015 | |
| Gloria Quinney |
Corporate Director |
Jan 1, 2015 | |
| Henry Hatter |
Corporate Director |
Jan 1, 2015 |
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Hamilton Community Health Network Inc |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1983 |
| Hamilton Community Health Network, Inc. |
Federally qualified health center | Operational/Managerial Control | Apr 1, 2024 |
| Hamilton Community Health Network Inc |
Federally qualified health center | Operational/Managerial Control | Aug 10, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080707000717 | MI | Part a Provider - Federally Qualified Health Center (FQHC) | 1254249196 |
1 other NPI on this enrollment Practice locations: Flint, MI |
National Provider Directory
- Tax ID family
- Hamilton Community Health Network Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
5710 Clio Rd.
Flint, MI 48504-1524
Mailing address
225 E 5TH St
#300
Flint, MI 48502-1641
Phone (810) 406-4912
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23-1880 | Other | MI | MEDICARE PART A |
Other providers in Flint, MI
- Hamilton Assisted Living
- Hamilton Community Health Network Inc
- Hamilton Community Health Network Inc
- Hamilton Community Health Network Inc.
- Hamilton Community Health Network Inc.
- Hamilton Community Health Network Inc.
- Hamilton Community Health Network Inc.
- Hamilton Community Health Network Inc.
- Hamilton Community Health Network Inc.
- Hamilton Community Health Network, Inc.
All providers in Flint, MI · Federally Qualified Health Center (FQHC) in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.