NPIMap

Organization Active NPI

Hamilton Community Health Network Inc.

  • Federally Qualified Health Center (FQHC)
  • Flint, MI
National Provider Identifier
1386624278
Registry record updated Jul 21, 2022
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.
Practice address
225 E 5TH St
Suite 300
Flint, MI 48502-1641
Phone
(810) 406-4246
Fax
(810) 424-6029
NPI assigned
Jan 18, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
HAMILTON COMMUNITY HEALTH NETWORK, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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) 406-4950

Specialties & licenses 1

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

Addresses

Primary practice location

225 E 5TH St
Suite 300
Flint, MI 48502-1641

Mailing address

225 E 5TH St
Suite 300
Flint, MI 48502-1641
Phone (810) 406-4246

Other identifiers 7

IdentifierTypeStateIssuer
23-1907OtherMIMEDICARE PART A: 420 W. FIFTH AVE., FLINT, MI 48503
23-1806OtherMIMEDICARE PART A: 4001 N. SAGINAW ST., FLINT, MI 48505
23-1886OtherMIMEDICARE PART A: G-3375 S. SAGINAW ST., BURTON, MI 48529
23-1128MedicaidMI
23-1094MedicaidMI
23-1880OtherMIMEDICARE PART A: 5710 CLIO RD., FLINT, MI 48504
TYPE 77MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20030115000003 MI Part A Provider - Federally Qualified Health Center (FQHC) 1254249196 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Burton, MI
O20031203000286 MI Part B Supplier - Clinic/Group Practice 1254249196 Receives reassigned benefits from 85 practitioners
Practice locations: Flint, MI; Whitmore Lake, MI; Lapeer, MI; Clio, MI; Burton, MI
O20080707000704 MI Part A Provider - Federally Qualified Health Center (FQHC) 1254249196 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Flint, MI
O20080707000717 MI Part A Provider - Federally Qualified Health Center (FQHC) 1254249196 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Flint, MI
O20090113000669 MI Part A Provider - Federally Qualified Health Center (FQHC) 1254249196 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clio, MI

NPI to CCN mapping 4

The Medicare certification numbers (CCNs) connected to NPI 1386624278. Details of each certification follow.

Federally qualified health center certification: CCN 231886

Legal name
HAMILTON COMMUNITY HEALTH NETWORK INC
Doing business as
GENESEE COUNTY HEALTH DEPT.-BURTON
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 8, 2003
Last certification
Jan 8, 2003
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Apr 2, 1982 in MI
Enrollment address
G3375 S Saginaw
Burton, MI 48529-1244

Federally qualified health center certification: CCN 231806

Legal name
HAMILTON COMMUNITY HEALTH NETWORK INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 11, 1992
Last certification
Sep 11, 1992
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
May 4, 1988 in MI
Enrollment address
2900 N Saginaw St
Flint, MI 48505-4452

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
CorporationNon-profit
Incorporated
May 4, 1988 in MI
Enrollment address
5710 Clio Road
Flint, MI 48504-1524

Federally qualified health center certification: CCN 231940

Legal name
HAMILTON COMMUNITY HEALTH NETWORK INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 10, 2009
Last certification
Mar 10, 2009
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Incorporated
Apr 2, 1982 in MI
Enrollment address
4154 W Vienna Rd
Clio, MI 48420-2809

Other NPIs with the same Medicare PAC ID 9

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

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Hamilton Community HLTH Inc

Locations

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

Ownership & related parties

All disclosed owners & managing parties 16

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
Kathy Haskins Individual Corporate DirectorBoard Member Sep 26, 2018
Corporate Director Sep 26, 2018
Michael J Giacalone Individual Corporate OfficerCmo Jan 1, 2006
Corporate OfficerCmo Jan 30, 2006
Christine Gleason Individual Corporate DirectorBoard Member Oct 1, 2011
Corporate Director Oct 1, 2011
Corporate DirectorBoard Member Jan 1, 2015
Corporate OfficerBoard Member Oct 1, 2011
Clarence R. Pierce Individual Corporate OfficerCeo May 30, 2006
W-2 Managing EmployeeCeo May 30, 2006
Corporate OfficerCeo May 15, 2008
W-2 Managing EmployeeCeo May 15, 2008
Corporate OfficerCeo May 30, 2006 100%
Corporate DirectorCeo May 30, 2006 100%
Operational/Managerial ControlCeo May 30, 2009 100%
David Bloom Individual Corporate DirectorBoard Member Jan 16, 2006
Corporate DirectorBoard Member Jul 25, 2022
Corporate OfficerBoard Member Jan 16, 2016
Archie Leflore Individual Corporate Director Jan 15, 2003
Corporate Director Jul 1, 1982
Corporate OfficerBoard Member Jul 1, 1982
Nancy Rich Individual Corporate DirectorBoard Member Nov 1, 2003
Corporate Director Nov 1, 2003
Corporate DirectorBoard Secretary Jan 1, 2015
Corporate OfficerBoard Member Nov 1, 2003
Linda L. McIntire Individual Corporate DirectorBoard Member Sep 26, 2018
Corporate Director Sep 26, 2018
Lawrence Reynolds Individual Corporate DirectorBoard Member Jan 16, 2016
Corporate Director Jan 16, 2016
Ronald Stamps Individual Corporate DirectorBoard Member Dec 1, 2008
Corporate Director Dec 1, 2008
Corporate DirectorBoard Vice President Jan 1, 2015
Corporate OfficerBoard Member Dec 1, 2008
Gloria Quinney Individual Corporate Director Jan 15, 2003
Corporate Director Jan 1, 1999
Corporate DirectorBoard Treasurer Jan 1, 2015
Corporate OfficerBoard Member Jan 1, 1999
Henry Hatter Individual Corporate OfficerBoard Member Aug 1, 2000
Corporate Director Aug 1, 2000
Corporate DirectorBoard Member Jan 1, 2015
Corporate OfficerBoard Member Apr 1, 2000
George Wilkinson Individual Corporate DirectorBoard Member Jan 16, 2016
Corporate Director Jan 16, 2016
Corporate OfficerBoard Member Jan 16, 2016
Stephanie Simmons Individual Corporate OfficerBoard Member Jan 16, 2016
Michael Townsend Individual Corporate OfficerPresident Nov 1, 2011

Owners & managing parties with NPI records 3

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 110

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.

View all 110

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386624278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 5TH ST",
            "address_2": "SUITE 300",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021641",
            "telephone_number": "810-406-4246",
            "fax_number": "810-424-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E 5TH ST",
            "address_2": "SUITE 300",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021641",
            "telephone_number": "810-406-4246",
            "fax_number": "810-424-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON COMMUNITY HEALTH NETWORK INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAMILTON COMMUNITY HEALTH NETWORK, INC.",
        "enumeration_date": "2006-01-18",
        "last_updated": "2022-07-21",
        "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": "810-406-4950"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A: 420 W. FIFTH AVE., FLINT, MI  48503",
            "identifier": "23-1907",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A:  4001 N. SAGINAW ST., FLINT, MI  48505",
            "identifier": "23-1806",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A: G-3375 S. SAGINAW ST., BURTON, MI 48529",
            "identifier": "23-1886",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23-1128",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23-1094",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A: 5710 CLIO RD., FLINT, MI 48504",
            "identifier": "23-1880",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TYPE 77",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.