Medical Missionary Management PC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

4301057900 Issued in MI

Legal business name

MEDICAL MISSIONARY MANAGEMENT PC

Practice address

1002 Seminole St
Detroit, MI 48214-2707

Phone

(313) 570-3699

Fax

(313) 331-2669

NPI assigned

Oct 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Everette B. Hambric, M.D.

Title

President

Phone

(313) 570-3699

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1417257510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 SEMINOLE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142707",
            "telephone_number": "313-570-3699",
            "fax_number": "313-331-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 SEMINOLE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142707",
            "telephone_number": "313-570-3699",
            "fax_number": "313-331-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MISSIONARY MANAGEMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "HAMBRIC",
        "authorized_official_first_name": "EVERETTE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-570-3699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "4301057900",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301057900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.