Mycare Health Center

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

MYCARE HEALTH CENTER

Practice address

1400 E12 Mile Road
Madison Heights, MI 48071

Phone

(248) 658-1116

NPI assigned

Oct 27, 2014

Last updated

Jul 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen Wood

Title

Ceo

Phone

(586) 619-9986

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

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

• Mycare Health Center

  • Federally Qualified Health Center (FQHC)
  • Mount Clemens, MI
  • NPI 1265749683

  O20110329000826

  Same enrollment
• Mycare Health Center

  • Federally Qualified Health Center (FQHC)
  • Clinton Township, MI
  • NPI 1639573033

  O20110329000826

  Same enrollment
• Mycare Health Center

  • Federally Qualified Health Center (FQHC)
  • Clinton Township, MI
  • NPI 1720482128

  O20110329000826

  Same enrollment
• Mycare Health Center

  • Federally Qualified Health Center (FQHC)
  • Center Line, MI
  • NPI 1811391212

  O20110329000826

  Same enrollment

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1609271105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 E 10 MILE RD",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151167",
            "telephone_number": "586-619-9986",
            "fax_number": "586-806-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E12 MILE ROAD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "48071",
            "telephone_number": "248-658-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYCARE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-619-9986"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edina Muratovic
• Michelle Murphy, LMT, BSBM
• William James Murphy Jr.
• Devyn Elisabeth Music
• Kayal Muthuraman, DO
• N.E.M. Transport LLC
• Christopher B Najarian, DO
• Sarah Naji, PA-C
• Lily Nalevayko
• Vikram Narula, MD

• Federally Qualified Health Center (FQHC) in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Federally Qualified Health Center (FQHC) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.