Family Health Center Inc.
Organization Active NPI Family Medicine Physician · Kalamazoo, MI
NPI 1700901246 · NPPES record last updated Sep 15, 2017
Key facts
- NPI
- 1700901246
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301063404 (MI)
- Legal business name
- FAMILY HEALTH CENTER INC.
- Practice address
- 924 Russell St
Kalamazoo, MI 49001-3037 - Phone
- (269) 377-1702
- NPI assigned
- Mar 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Denise R Crawford
- Title
- President and Ceo
- Phone
- (269) 349-4257
Other NPIs on the same Medicare enrollment 9
Practitioners 4
-
Elisia Jean Grewe, FNP-BC
-
Edward W Haughn, DO
-
Daniel Hodge, NP
-
Peter J Ziemkowski, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040510000899 | MI | Part B Supplier - Clinic/Group Practice | 1759370216 |
Receives reassigned benefits from 133 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kalamazoo, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 6801046074 | MI | |
| Family Medicine Physician |
207Q00000X | 4301063404 | MI | Yes |
Addresses
Primary practice location
924 Russell St
Kalamazoo, MI 49001-3037
Mailing address
117 W Paterson St
Kalamazoo, MI 49007-2557
Phone (269) 349-2641
Other names
- Family Health Center, Edison School Based Health Center
Other providers in Kalamazoo, MI
- Family and Children Services
- Family Counseling and Mediation Services LLC
- Family Health Center Inc
- Family Health Center Inc
- Family Health Center Inc
- Family Health Center, Inc
- Family Health Center, Inc
- Family Health Center, Inc
- Family Health Center, Inc.
- Family Health Center, Inc.
All providers in Kalamazoo, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2017. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.