NPIMap

Organization Active NPI

Mott Children's Health Center

  • Multi-Specialty Clinic/Center
  • Flint, MI
National Provider Identifier
1598760795
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MOTT CHILDREN'S HEALTH CENTER
Practice address
806 Tuuri PL
Flint, MI 48503-2465
Phone
(810) 767-5750
Fax
(810) 237-7582
NPI assigned
Jun 15, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark William Pascoe
Title
Vice President/Cfo
Phone
(810) 237-7570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

806 Tuuri PL
Flint, MI 48503-2465

Mailing address

806 Tuuri PL
Flint, MI 48503-2465
Phone (810) 767-5750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050325000068 MI Part B Supplier - Clinic/Group Practice 1254387947 Receives reassigned benefits from 16 practitioners
Practice locations: Flint, MI

National Provider Directory

National Provider Directory
Tax ID family
Mott Childrens2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1000 E Mount Morris St
Mount Morris, MI 48458

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598760795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 TUURI PL",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032465",
            "telephone_number": "810-767-5750",
            "fax_number": "810-237-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 TUURI PL",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032465",
            "telephone_number": "810-767-5750",
            "fax_number": "810-237-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTT CHILDREN'S HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PASCOE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "810-237-7570",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.