NPIMap

Organization Active NPI

City of Detroit

Doing business as Department of Health and Wellness Promotion

  • Clinical Medical Laboratory
  • Detroit, MI
National Provider Identifier
1386769164
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CITY OF DETROIT
Doing business as
Department of Health and Wellness Promotion
Practice address
Detroit Health Dept - Herman Kiefer Health Complex
1151 Taylor Street, 1C Wing
Detroit, MI 48202-1732
Phone
(313) 876-4000
Fax
(313) 876-0177
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Authorized official

Name
Phyllis D Meadows, PHD, RN
Title
Public Health Director
Phone
(313) 876-4301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

Detroit Health Dept - Herman Kiefer Health Complex
1151 Taylor Street, 1C Wing
Detroit, MI 48202-1732

Mailing address

Detroit Health Dept - Herman Kiefer Health Complex
1151 Taylor Street, 1C Wing
Detroit, MI 48202-1732
Phone (313) 876-4000

Other identifiers 1

IdentifierTypeStateIssuer
2115536MedicaidMI

Other names 1

  • Department of Health and Wellness Promotion Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emergency Medical Serv15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

1151 Taylor St
#1C
Detroit, MI 48202
Phone (313) 876-0491

Practitioners & affiliated clinicians

Practitioners 3

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1386769164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DETROIT HEALTH DEPT - HERMAN KIEFER HEALTH COMPLEX",
            "address_2": "1151 TAYLOR STREET, 1C WING",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021732",
            "telephone_number": "313-876-4000",
            "fax_number": "313-876-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DETROIT HEALTH DEPT - HERMAN KIEFER HEALTH COMPLEX",
            "address_2": "1151 TAYLOR STREET, 1C WING",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021732",
            "telephone_number": "313-876-4000",
            "fax_number": "313-876-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DETROIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "313-876-4301",
        "authorized_official_credential": "PHD, RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2115536",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Department of Health and Wellness Promotion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 6, 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.

Verify at the official NPI Registry.