NPIMap

Organization Active NPI

Wayne County Treasurer-Payroll County of Wayne

  • Federally Qualified Health Center (FQHC)
  • Hamtramck, MI
National Provider Identifier
1700215977
Registry record updated Mar 5, 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
Practice address
9021 Joseph Campau St
Hamtramck, MI 48212-3726
Phone
(313) 871-1926
Fax
(313) 871-1964
NPI assigned
Nov 7, 2013
Last updated
Mar 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Dr. Mouhanad Hammami, M.D.
Title
Director and Health Officer
Phone
(313) 224-0810

Specialties & licenses 1

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

Addresses

Primary practice location

9021 Joseph Campau St
Hamtramck, MI 48212-3726

Mailing address

9021 Joseph Campau St
Hamtramck, MI 48212-3726
Phone (313) 224-0810

Other names 1

  • County of Wayne Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140606001818 MI Part A Provider - Federally Qualified Health Center (FQHC) 2961462635 Practice locations: Hamtramck, MI
O20160311000413 MI Part B Supplier - Clinic/Group Practice 2961462635 Receives reassigned benefits from 22 practitioners
2 other NPIs on this enrollment
Practice locations: Garden City, MI; Hamtramck, MI; Wayne, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700215977. Details of each certification follow.

Federally qualified health center certification: CCN 231026

Legal name
WAYNE COUNTY TREASURER PAYROLL-COUNTY OF WAYNE
Doing business as
WCHC - HAMTRAMCK HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 27, 2014
Last certification
Jun 27, 2014
Ownership / control type
Non-profit – other
Organization structure
GovernmentNon-profit
Enrollment address
9021 Joseph Campau Street
Hamtramck, MI 48212-3040

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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2062996Wayne County Healthy Communities9021 Joseph Campau, Hamtramck, MI 48212Provider-performed microscopyMay 12, 2027

National Provider Directory

National Provider Directory

Locations

9021 Joseph Campau St
Hamtramck, MI 48212
Phone (313) 871-1926

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Wayne County Treasurer Payroll-County of Wayne Organization, Detroit, MI 5% Or Greater Direct Ownership Interest Dec 14, 2010 100%
Christine Jones Individual Corporate DirectorBoard Member Jan 24, 2024
Ramis Wadood Individual Corporate DirectorBoard Chair 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 3

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
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 1

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1700215977",
    "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": "313-224-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9021 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123726",
            "telephone_number": "313-871-1926",
            "fax_number": "313-871-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE COUNTY TREASURER-PAYROLL COUNTY OF WAYNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "HAMMAMI",
        "authorized_official_first_name": "MOUHANAD",
        "authorized_official_title_or_position": "DIRECTOR AND HEALTH OFFICER",
        "authorized_official_telephone_number": "313-224-0810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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": "County of Wayne",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hamtramck, MI

Sources for this page

Verify at the official NPI Registry.