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Family Medical Center of Michigan,Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Detroit, MI

NPI 1740933720 · NPPES record last updated Jan 31, 2022

Key facts

NPI
1740933720
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
FAMILY MEDICAL CENTER OF MICHIGAN,INC
Practice address
13726 Pembroke Ave
Detroit, MI 48235-1519
Phone
(734) 850-6903
Fax
(734) 850-0520
NPI assigned
Jan 31, 2022
Organization subpart
No

Authorized official

Name
Ed Larkins
Title
Ceo
Phone
(734) 850-6914

Corporate family (same tax ID) 24

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Famly Medical Center of Michigan Inc (91 organizations share this tax ID)

Locations

13726 Pembroke Ave
Detroit, MI 48235

Specialties & licenses

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

Addresses

Primary practice location

13726 Pembroke Ave
Detroit, MI 48235-1519

Mailing address

8765 Lewis Ave
Temperance, MI 48182-9300
Phone (734) 847-3802

Other names

  • FAMILY MEDICAL CENTER OF MI-VERNOR ELEMENTARY Doing business as

Other providers in Detroit, MI

All providers in Detroit, MI · Federally Qualified Health Center (FQHC) in Michigan

Sources for this page

Verify at the official NPI Registry.