Minden City Community Healthcare Outreach

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

5601003334 Issued in MI

Legal business name

MINDEN CITY COMMUNITY HEALTHCARE OUTREACH

Practice address

28 Deer Creek Drive
Fort Gratiot, MI 48059

Phone

(989) 864-5328

NPI assigned

Jul 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lindsay Kathryn Brown, P.A.-CNPI 1225057664

Title

Ceo

Phone

(810) 385-2290

Specialties & licenses 1

Addresses

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.

• Lindsay Kathryn Brown, PAC

  • Medical Physician Assistant
  • Southfield, MI
  • NPI 1225057664
  NPD (past) Authorized official

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720018823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 DEER CREEK DR",
            "city": "BURTCHVILLE",
            "state": "MI",
            "postal_code": "480593645",
            "telephone_number": "810-385-2290",
            "fax_number": "810-385-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 DEER CREEK DRIVE",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "48059",
            "telephone_number": "989-864-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDEN CITY COMMUNITY HEALTHCARE OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "810-385-2290",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.A.-C"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MI",
            "license": "5601003334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Restorative Institute, PLLC (New Era Dental)
• Bryan Mihai
• Madelyne Mackenzie Millar
• Alyssa Miller
• Robert William Miller
• Gayle Julaine Moes
• Jezzalyn Molesworth
• Jayvon D Moncrief
• Meredith Anne Moore, LBSW
• Ashleah Therese Morgan

• Community Health Clinic/Center in Fort Gratiot, MI
• Providers in Fort Gratiot, MI by specialty
• Community Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.