Organization Active NPI

GMP Network

Doing business as Greater Macomb PHO

  • Case Management Agency
  • Clinton Township, MI
National Provider Identifier
1619386620
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
GMP NETWORK
Doing business as
Greater Macomb PHO
Practice address
43411 Garfield Rd Ste a
Clinton Township, MI 48038
Phone
(586) 842-0870
Fax
(586) 649-7583
NPI assigned
Aug 5, 2014
Last updated
Jul 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Angela Vanker, MPH
Title
Executive Director
Phone
(586) 842-0870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

43411 Garfield Rd Ste a
Clinton Township, MI 48038

Mailing address

43411 Garfield Rd Ste a
Clinton Township, MI 48038
Phone (586) 842-0870

Other names 1

  • Greater Macomb PHO Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260325002698 MI Part B Supplier - Clinic/Group Practice 3870077043 Receives reassigned benefits from 1 practitioner
Practice locations: Clinton Township, MI

National Provider Directory

National Provider Directory

Locations

43411 Garfield Rd
Ste A
Clinton Twp, MI 48038
Phone (586) 842-0870

Practitioners & affiliated clinicians

Practitioners 2

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": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1619386620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43411 GARFIELD RD STE A",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-842-0870",
            "fax_number": "586-649-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43411 GARFIELD RD STE A",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-842-0870",
            "fax_number": "586-649-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GMP NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "VANKER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "586-842-0870",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Macomb PHO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.