Organization Active NPI

County of Ingham

Doing business as Everett Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Lansing, MI
National Provider Identifier
1427406552
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COUNTY OF INGHAM
Doing business as
Everett Community Health Center
Practice address
3900 Stabler St RM 7
Lansing, MI 48910-4567
Phone
(517) 702-3500
Fax
(517) 484-5169
NPI assigned
May 31, 2016
Last updated
Oct 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Adenike Tolulupe Shoyinka, MDNPI 1154634384
Title
Oa - Medical Health Officer
Phone
(517) 887-4466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

3900 Stabler St RM 7
Lansing, MI 48910-4567

Mailing address

PO Box 30161
Lansing, MI 48909-7661
Phone (517) 887-4383

Other identifiers 1

IdentifierTypeStateIssuer
23-1156OtherPTAN

Other names 1

  • Everett Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050126000527 MI Part B Supplier - Clinic/Group Practice 7810899622 Receives reassigned benefits from 40 practitioners
28 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lansing, MI
O20200305000959 MI Part A Provider - Federally Qualified Health Center (FQHC) 7810899622 Practice locations: Lansing, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427406552. Details of each certification follow.

Federally qualified health center certification: CCN 231156

Legal name
COUNTY OF INGHAM
Doing business as
EVERETT COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 5, 2020
Last certification
Mar 5, 2020
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
3900 Stabler St
RM 7
Lansing, MI 48910-4567

Other NPIs with the same Medicare PAC ID 8

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

Other NPIs on the same Medicare enrollment 19

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

View all 19

National Provider Directory

National Provider Directory
Tax ID family
Kashyap Gaure18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

812 E Jolly Rd
Lansing, MI 48910
Phone (517) 237-7162

1115 S Pennsylvania Ave
Lansing, MI 48912
Phone (517) 346-4700

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Adenike T Shoyinka Individual Corporate OfficerHealth Officer Feb 17, 2023 35%
W-2 Managing EmployeeHealth Officer Feb 17, 2023 35%
Russell Kolski Individual Corporate OfficerDeputy Health Officer and Exe Dir Sep 11, 2024 40%
Corporate DirectorDeputy Health Officer and Exe Dir Sep 11, 2024 40%
W-2 Managing EmployeeAd; Sep 11, 2024 40%
County of Ingham Organization, Lansing, MI Operational/Managerial Control Nov 22, 2019 100%
Jennifer Mora Individual Corporate OfficerCfo Nov 6, 2023 25%
W-2 Managing EmployeeCfo Nov 6, 2023 25%

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Onecare LTC, LLCOkemos, MI, CCN 235015 Skilled nursing facility 5% Or Greater Direct Ownership Interest
Adp of the SNF
Jan 1, 1967
Jan 1, 1967
Cedar Community Health CenterLansing, MI, CCN 231894 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Nov 5, 1984
Sexton Community Health CenterLansing, MI, CCN 231978 Federally qualified health center Operational/Managerial Control (100%) Feb 29, 2012
Birch Community Health CenterLansing, MI, CCN 231003 Federally qualified health center Operational/Managerial Control Apr 1, 2013
Forest Community Health CenterLansing, MI, CCN 231089 Federally qualified health center Operational/Managerial Control (100%) Feb 3, 2016
Eastern Community Health CenterLansing, MI, CCN 231148 Federally qualified health center Operational/Managerial Control (100%) Sep 4, 2019
Gardner Community Health CenterLansing, MI, CCN 231155 Federally qualified health center Operational/Managerial Control (100%) Nov 12, 2019
Pattengill Community Health CenterLansing, MI, CCN 231158 Federally qualified health center Operational/Managerial Control (100%) Nov 18, 2019
Allen Community Health CenterLansing, MI, CCN 231188 Federally qualified health center Operational/Managerial Control (100%) Sep 26, 2022

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1427406552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30161",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489097661",
            "telephone_number": "517-887-4383",
            "fax_number": "517-244-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 STABLER ST RM 7",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489104567",
            "telephone_number": "517-702-3500",
            "fax_number": "517-484-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF INGHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "SHOYINKA",
        "authorized_official_first_name": "ADENIKE",
        "authorized_official_middle_name": "TOLULUPE",
        "authorized_official_title_or_position": "OA - MEDICAL HEALTH OFFICER",
        "authorized_official_telephone_number": "517-887-4466",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "23-1156",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Everett Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.