Mycare Health Center

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

MYCARE HEALTH CENTER

Practice address

42627 Garfield
Suite 213
Clinton Township, MI 48038

Phone

(586) 783-3906

NPI assigned

Oct 14, 2014

Last updated

Jul 17, 2018By 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

Karen Wood

Title

Ceo

Phone

(586) 619-9986

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

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

• Mycare Health Center

  • Federally Qualified Health Center (FQHC)
  • Mount Clemens, MI
  • NPI 1265749683

  O20110329000826

  Same enrollment
• Mycare Health Center

  • Federally Qualified Health Center (FQHC)
  • Madison Heights, MI
  • NPI 1609271105

  O20110329000826

  Same enrollment
• Mycare Health Center

  • Federally Qualified Health Center (FQHC)
  • Clinton Township, MI
  • NPI 1639573033

  O20110329000826

  Same enrollment
• Mycare Health Center

  • Federally Qualified Health Center (FQHC)
  • Center Line, MI
  • NPI 1811391212

  O20110329000826

  Same enrollment

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1720482128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 E 10 MILE RD",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151167",
            "telephone_number": "586-619-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42627 GARFIELD",
            "address_2": "SUITE 213",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-783-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYCARE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-619-9986"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melina Murray
• Melissa Murray
• Sienna Malia Murray
• Samantha Rae Muzia
• Mycare Health Center
• Corin Marie Myers, LMSW
• Jaclyn Myers, LMSW
• Kendell Myers
• Nicholas Myers, DO
• Marsel Myftiu, DC

• Federally Qualified Health Center (FQHC) in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Federally Qualified Health Center (FQHC) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.