NPIMap

Organization Active NPI

County of Ingham

Doing business as Birch Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Lansing, MI
National Provider Identifier
1639422728
Registry record updated Oct 15, 2025
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
Birch Community Health Center
Practice address
812 E Jolly Rd
Lansing, MI 48910-6818
Phone
(517) 244-8030
Fax
(517) 393-3147
NPI assigned
Oct 26, 2012
Last updated
Oct 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Adenike Tolulupe ShoyinkaNPI 1154634384
Title
Ao - Medical Health Officer
Phone
(517) 887-4466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

812 E Jolly Rd
Lansing, MI 48910-6818

Mailing address

PO Box 30161
Lansing, MI 48909-7661
Phone (517) 887-4383

Other names 1

  • Birch Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20050126000527 MI Part B Supplier - Clinic/Group Practice 7810899622 Receives reassigned benefits from 40 practitioners
28 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lansing, MI
O20050127000235 MI Part B Supplier - Clinic/Group Practice 7810899622 Receives reassigned benefits from 23 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lansing, MI
O20130221000472 MI Part A Provider - Federally Qualified Health Center (FQHC) 7810899622 Practice locations: Lansing, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639422728. Details of each certification follow.

Federally qualified health center certification: CCN 231003

Legal name
COUNTY OF INGHAM
Doing business as
BIRCH COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 11, 2013
Last certification
Apr 11, 2013
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
812 E Jolly Rd
Lansing, MI 48910-6818

Other NPIs with the same Medicare PAC ID 8

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

  • County of Ingham

    dba Everett Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lansing, MI
    • NPI 1427406552

    7810899622

    Same PAC ID
  • County of Ingham

    dba Sexton Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lansing, MI
    • NPI 1487930152

    7810899622

    Same PAC ID
  • County of Ingham

    dba Forest Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lansing, MI
    • NPI 1518339654

    7810899622

    Same PAC ID
  • County of Ingham

    dba Allen Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lansing, MI
    • NPI 1548924764

    7810899622

    Same PAC ID
  • County of Ingham

    dba Pattengill Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lansing, MI
    • NPI 1558928747

    7810899622

    Same PAC ID
  • County of Ingham

    dba Cedar Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lansing, MI
    • NPI 1568560308

    7810899622

    Same PAC ID
  • County of Ingham

    dba Gardner Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lansing, MI
    • NPI 1679130942

    7810899622

    Same PAC ID
  • County of Ingham

    dba Eastern Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lansing, MI
    • NPI 1700431632

    7810899622

    Same PAC ID

Other NPIs on the same Medicare enrollment 20

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

View all 20

National Provider Directory

National Provider Directory
Tax ID family
County of Ingham5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Terri Jenness Individual W-2 Managing EmployeeCredentialing Coordinator Sep 11, 2024
OtherCredentialing Coordinator Sep 11, 2024
Adenike T Shoyinka Individual Corporate OfficerHealth Officer Feb 17, 2023 35%
W-2 Managing EmployeeHealth Officer Feb 17, 2023 35%
Russell Kolski Individual Corporate OfficerDeputy Health Officer & Exe Directo Sep 11, 2024 40%
Corporate DirectorDeputy Health Officer & Exe Directo Sep 11, 2024 40%
W-2 Managing EmployeeAd; Sep 11, 2024 40%
County of Ingham Organization, Lansing, MI Operational/Managerial Control Apr 1, 2013
Jennifer Mora Individual Corporate OfficerCfo Nov 6, 2023 25%
W-2 Managing EmployeeCfo Nov 6, 2023 25%

Owners & managing parties with NPI records 9

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

  • County of Ingham

    dba Everett Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lansing, MI
    • NPI 1427406552

    Operational/Managerial Control

    CMS ownership
  • County of Ingham

    dba Sexton Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lansing, MI
    • NPI 1487930152

    Operational/Managerial Control

    CMS ownership
  • County of Ingham

    dba Forest Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lansing, MI
    • NPI 1518339654

    Operational/Managerial Control

    CMS ownership
  • County of Ingham

    dba Allen Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lansing, MI
    • NPI 1548924764

    Operational/Managerial Control

    CMS ownership
  • County of Ingham

    dba Pattengill Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lansing, MI
    • NPI 1558928747

    Operational/Managerial Control

    CMS ownership
  • County of Ingham

    dba Cedar Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lansing, MI
    • NPI 1568560308

    Operational/Managerial Control

    CMS ownership
  • County of Ingham

    dba Gardner Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lansing, MI
    • NPI 1679130942

    Operational/Managerial Control

    CMS ownership
  • County of Ingham

    dba Eastern Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lansing, MI
    • NPI 1700431632

    Operational/Managerial Control

    CMS ownership
  • Adenike Tolulupe Shoyinka, M.D.
    • Infectious Disease Physician
    • Lansing, MI
    • NPI 1154634384

    Corporate Officer, W-2 Managing Employee

    CMS ownership

All facility ownership & control disclosures 9

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

FacilityTypeRoleSince
Onecare LTC, LLCOkemos, MI, CCN 235015 Skilled nursing facility 5% Or Greater Direct Ownership Interest
Adp of the SNF		 Jan 1, 1967
Jan 1, 1967
Cedar Community Health CenterLansing, MI, CCN 231894 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Nov 5, 1984
Sexton Community Health CenterLansing, MI, CCN 231978 Federally qualified health center Operational/Managerial Control (100%) Feb 29, 2012
Forest Community Health CenterLansing, MI, CCN 231089 Federally qualified health center Operational/Managerial Control (100%) Feb 3, 2016
Eastern Community Health CenterLansing, MI, CCN 231148 Federally qualified health center Operational/Managerial Control (100%) Sep 4, 2019
Gardner Community Health CenterLansing, MI, CCN 231155 Federally qualified health center Operational/Managerial Control (100%) Nov 12, 2019
Everett Community Health CenterLansing, MI, CCN 231156 Federally qualified health center Operational/Managerial Control (100%) Nov 22, 2019
Pattengill Community Health CenterLansing, MI, CCN 231158 Federally qualified health center Operational/Managerial Control (100%) Nov 18, 2019
Allen Community Health CenterLansing, MI, CCN 231188 Federally qualified health center Operational/Managerial Control (100%) Sep 26, 2022

Owned or controlled facilities with NPI records 9

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

  • County of Ingham

    dba Everett Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lansing, MI
    • NPI 1427406552

    Operational/Managerial Control

    CMS ownership
  • County of Ingham

    dba Sexton Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lansing, MI
    • NPI 1487930152

    Operational/Managerial Control

    CMS ownership
  • County of Ingham

    dba Forest Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lansing, MI
    • NPI 1518339654

    Operational/Managerial Control

    CMS ownership
  • County of Ingham

    dba Allen Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lansing, MI
    • NPI 1548924764

    Operational/Managerial Control

    CMS ownership
  • County of Ingham

    dba Pattengill Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lansing, MI
    • NPI 1558928747

    Operational/Managerial Control

    CMS ownership
  • County of Ingham

    dba Cedar Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lansing, MI
    • NPI 1568560308

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Ingham

    dba Gardner Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lansing, MI
    • NPI 1679130942

    Operational/Managerial Control

    CMS ownership
  • County of Ingham

    dba Eastern Community Health Center

    • Federally Qualified Health Center (FQHC)
    • Lansing, MI
    • NPI 1700431632

    Operational/Managerial Control

    CMS ownership
  • Ingham County Medical Care Facility
    • Skilled Nursing Facility
    • Okemos, MI
    • NPI 1831195114

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 10

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": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1639422728",
    "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": "517-887-4383",
            "fax_number": "517-244-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 E JOLLY RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489106818",
            "telephone_number": "517-244-8030",
            "fax_number": "517-393-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF INGHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "SHOYINKA",
        "authorized_official_first_name": "ADENIKE",
        "authorized_official_middle_name": "TOLULUPE",
        "authorized_official_title_or_position": "AO - MEDICAL HEALTH OFFICER",
        "authorized_official_telephone_number": "517-887-4466"
    },
    "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": "Birch Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.