NPIMap

Organization Active NPI

Hamilton Community Health Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Flint, MI
National Provider Identifier
1700950235
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HAMILTON COMMUNITY HEALTH NETWORK, INC.
Practice address
2900 N Saginaw St
Flint, MI 48505-4452
Phone
(810) 789-9141
Fax
(810) 789-9222
NPI assigned
Nov 17, 2006
Reactivated
Sep 3, 2008
Last updated
Jan 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Authorized official

Name
Clarence Pierce, MS
Title
Ceo
Phone
(810) 406-4912

Specialties & licenses 1

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

Addresses

Primary practice location

2900 N Saginaw St
Flint, MI 48505-4452

Mailing address

225 E 5TH St
Suite 300
Flint, MI 48502-1641
Phone (810) 406-4912

Other identifiers 1

IdentifierTypeStateIssuer
23-1806OtherMIMEDICARE PART A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080707000704 MI Part A Provider - Federally Qualified Health Center (FQHC) 1254249196 1 other NPI on this enrollment
Practice locations: Flint, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700950235. Details of each certification follow.

Federally qualified health center certification: CCN 231806

Legal name
HAMILTON COMMUNITY HEALTH NETWORK INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 11, 1992
Last certification
Sep 11, 1992
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
May 4, 1988 in MI
Enrollment address
2900 N Saginaw St
Flint, MI 48505-4452

Other NPIs with the same Medicare PAC ID 9

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Hamilton Community HLTH Inc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Dana Manns Individual W-2 Managing EmployeeCfo Sep 23, 2022
Kathy Haskins Individual Corporate Director Sep 26, 2018
Michael J Giacalone Individual Corporate OfficerCmo Jan 30, 2006
Christine Gleason Individual Corporate Director Oct 1, 2011
Clarence R. Pierce Individual Corporate OfficerCeo May 15, 2008
W-2 Managing EmployeeCeo May 15, 2008
David Bloom Individual Corporate DirectorBoard Member Jul 25, 2022
Archie Leflore Individual Corporate Director Jul 1, 1982
Nancy Rich Individual Corporate Director Nov 1, 2003
Linda L. McIntire Individual Corporate Director Sep 26, 2018
Lawrence Reynolds Individual Corporate Director Jan 16, 2016
Ronald Stamps Individual Corporate Director Dec 1, 2008
Gloria Quinney Individual Corporate Director Jan 1, 1999
Henry Hatter Individual Corporate Director Aug 1, 2000
George Wilkinson Individual Corporate Director Jan 16, 2016

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 3

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

FacilityTypeRoleSince
Hamilton Community Health Network IncFlint, MI, CCN 231167 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1983
Hamilton Community Health Network, Inc.Whitmore Lake, MI, CCN C71025 Federally qualified health center Operational/Managerial Control Apr 1, 2024
Hamilton Community Health Network IncBurton, MI, CCN C71046 Federally qualified health center Operational/Managerial Control Aug 10, 2025

Owned or controlled facilities with NPI records 3

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

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": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1700950235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 5TH ST",
            "address_2": "SUITE 300",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021641",
            "telephone_number": "810-406-4912",
            "fax_number": "810-424-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N SAGINAW ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485054452",
            "telephone_number": "810-789-9141",
            "fax_number": "810-789-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON COMMUNITY HEALTH NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "deactivation_date": "2008-04-30",
        "reactivation_date": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "810-406-4912",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A",
            "identifier": "23-1806",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.