Wayne County Treasurer-Payroll County of Wayne
Organization Active NPI Federally Qualified Health Center (FQHC) · Hamtramck, MI
NPI 1700215977 · NPPES record last updated Mar 5, 2026
Key facts
- NPI
- 1700215977
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Mouhanad Hammami, M.D.
- Title
- Director and Health Officer
- Phone
- (313) 224-0810
Owners & managing parties with NPI records 3
-
Raouf Seifeldin, MD
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 2
Facilities with the same owner 1
Practitioners 23
-
Mariam Bassalious, DNP, FNP-BC
-
Abed L Dabaja, MD
-
Munni Deb, PH.D.
-
Nancy Marie George, PHD,FNP-BC
-
Bardia Gholami, M.D.
-
Henri Godbold, M.D
-
Pranay Gupta, M.B.B.S.
-
Suat Gurkan, DDS
-
Mohamad Hamdi, M.D. PHD
-
Coral Lynn Hufnagel, DNP-FNP
-
Michael D Jennings, DENTIST
-
Sharfaa Chowdhury, DNP, APRN, FNP-BC
-
Crystalyn Marchese, DNP, FNP
-
Lama Bandar, D.D.S
-
Sujata Kambhatla, MD
-
Agron Myftari, M.S.W.
-
Raouf Seifeldin, MD
-
Shayanna Stryd, DNP, RN, FNP-BC
-
Faizeh Abdelkareem Faouri, PSYCHOLOGIST LLP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2062996 | Wayne County Healthy Communities | Provider-performed microscopy | May 12, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI
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
- Government · Non-profit
- Enrollment address
- 9021 Joseph Campau Street
Hamtramck, MI 48212-3040
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Wayne County Treasurer Payroll-County of Wayne |
5% Or Greater Direct Ownership Interest | Dec 14, 2010 | 100% |
| Christine Jones |
Corporate Director |
Jan 24, 2024 | |
| Ramis Wadood |
Corporate Director |
Jan 24, 2024 | |
| Faisel Mohamed |
Corporate Director |
Mar 22, 2024 | |
| Amena Ludi |
Corporate Director |
Jan 25, 2024 | |
| Raouf R Seifeldin |
Corporate Officer |
Jun 25, 2025 | |
| Ali Balawi |
Corporate Officer |
Jan 2, 2022 | |
| Malek Hussein |
Corporate Director |
Mar 22, 2021 | |
| Twanisha Glass |
Corporate Director |
Apr 1, 2024 | |
| Javar Jackson |
Corporate Officer |
Jun 25, 2025 | |
| W-2 Managing Employee |
Jun 25, 2025 | ||
| Operational/Managerial Control |
Jun 25, 2025 | ||
| Samih Hamadeh |
Corporate Director |
Jan 25, 2025 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| WCHC-Wayne Health Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jan 16, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
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
- County of Wayne
Other providers in Hamtramck, MI
- Unlimited Care Service LLC
- Wafa Home Care LLC
- Elyse Rose Wartel
- Hana Wasel
- Wayne County Healthy Communities
- WCHC-Hamtramck Health Center
- Whole Body Liberation Counseling LLC
- Matthew J Wietrzykowski
- Angela Marie Wiley
- Stephanie Kaye Wilks
All providers in Hamtramck, MI · Federally Qualified Health Center (FQHC) in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.