NPIMap

Organization Active NPI

Wayne County Treasurer Payroll-County of Wayne

Doing business as WCHC-Garden City Health Center

  • Federally Qualified Health Center (FQHC)
  • Garden City, MI
National Provider Identifier
1609721364
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WAYNE COUNTY TREASURER PAYROLL-COUNTY OF WAYNE
Doing business as
WCHC-Garden City Health Center
Practice address
6255 Inkster Rd Ste 206
Garden City, MI 48135-2538
Phone
(313) 871-1964
NPI assigned
Feb 27, 2026
Last updated
Mar 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Javar Jackson
Title
Ceo
Phone
(313) 421-6989

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

6255 Inkster Rd Ste 206
Garden City, MI 48135-2538

Mailing address

9021 Joseph Campau St
Hamtramck, MI 48212-3726
Phone (313) 871-1964

Other practice location 1

6255 Inkster Rd Ste 204
Garden City, MI 48135-2538
Phone (313) 871-1964

Other names 1

  • WCHC-Garden City 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
O20160311000413 MI Part B Supplier - Clinic/Group Practice 2961462635 Receives reassigned benefits from 22 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Garden City, MI; Hamtramck, MI; Wayne, MI
O20260505000337 MI Part A Provider - Federally Qualified Health Center (FQHC) 2961462635 Practice locations: Garden City, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609721364. Details of each certification follow.

Federally qualified health center certification: CCN C71058

Legal name
WAYNE COUNTY TREASURER PAYROLL-COUNTY OF WAYNE
Doing business as
WCHC-GARDEN CITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 4, 2026
Last certification
May 4, 2026
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
6255 Inkster Rd
Ste 206
Garden City, MI 48135-2538

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Det Metro Wayne Cty Air11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Christine Jones Individual Corporate DirectorBoard Member Jan 24, 2024
Ramis Wadood Individual Corporate OfficerChair Jan 24, 2024
Faisel Mohamed Individual Corporate DirectorBoard Member Mar 22, 2024
Amena Ludi Individual Corporate DirectorBoard Member Jan 25, 2024
Raouf R Seifeldin Individual Corporate OfficerCmo Jun 25, 2025
Ali Balawi Individual Corporate OfficerInterim Finance Chair Jan 2, 2022
Malek Hussein Individual Corporate DirectorBoard Member Mar 22, 2021
Twanisha Glass Individual Corporate DirectorBoard Member Apr 1, 2024
Javar Jackson Individual Corporate OfficerCeo Jun 25, 2025
W-2 Managing EmployeeCeo Jun 25, 2025
Operational/Managerial ControlCeo Jun 25, 2025
Samih Hamadeh Individual Corporate DirectorBoard Member Jan 25, 2025

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
WCHC - Hamtramck Health CenterHamtramck, MI, CCN 231026 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Dec 14, 2010
WCHC-Wayne Health CenterWayne, MI, CCN 231098 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 16, 2016

Owned or controlled facilities with NPI records 2

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

NPI Registry JSON

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

{
    "created_epoch": "1772150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1609721364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9021 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123726",
            "telephone_number": "313-871-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD STE 206",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352538",
            "telephone_number": "313-871-1964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6255 Inkster Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "MI",
            "postal_code": "481352538",
            "country_code": "US",
            "telephone_number": "313-871-1964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WAYNE COUNTY TREASURER PAYROLL-COUNTY OF WAYNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JAVAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-421-6989"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WCHC-Garden City Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden City, MI

Sources for this page

Verify at the official NPI Registry.