Organization Active NPI

County of Ingham

Doing business as East Lansing Community Health Center

  • Federally Qualified Health Center (FQHC)
  • East Lansing, MI
National Provider Identifier
1629772033
Registry record updated Feb 12, 2024
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
East Lansing Community Health Center
Practice address
509 Burcham Dr
East Lansing, MI 48823-2750
Phone
(517) 898-3871
Fax
(517) 484-5169
NPI assigned
Mar 29, 2023
Last updated
Feb 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Kris Drake
Title
Dho /Ed
Phone
(517) 887-4361

Specialties & licenses 1

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

Addresses

Primary practice location

509 Burcham Dr
East Lansing, MI 48823-2750

Mailing address

PO Box 30161
Lansing, MI 48909-7661
Phone (517) 244-8019

Other names 1

  • East Lansing Community Health Center Doing business as

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1629772033",
    "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": "517-244-8019",
            "fax_number": "517-244-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 BURCHAM DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232750",
            "telephone_number": "517-898-3871",
            "fax_number": "517-484-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF INGHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "DHO /ED",
        "authorized_official_telephone_number": "517-887-4361"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Lansing Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Lansing Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.