Active NPI
Activate Healthcare - Local 98 Clinic
- Primary Care Clinic/Center
- Madison Heights, MI
National Provider Identifier
1942698972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- ACTIVATE HEALTHCARE - LOCAL 98 CLINIC
- Practice address
- 555 Horace Brown Dr
Madison Heights, MI 48071-1867 - Phone
- (248) 268-4477
- Fax
- (248) 268-4478
- NPI assigned
- Dec 29, 2014
- Last updated
- Jan 21, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra Geihsler
- Title
- Principal
- Phone
- (773) 697-3144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
555 Horace Brown Dr
Madison Heights, MI 48071-1867
Mailing address
2010 N Damen Ave
Suite F
Chicago, IL 60647-3284
Phone (773) 697-3144
National Provider Directory
National Provider DirectoryLocations
555 Horace Brown Dr
Madison Heights, MI 48071
Phone (248) 268-4477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421798400000",
"number": "1942698972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 N DAMEN AVE",
"address_2": "SUITE F",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606473284",
"telephone_number": "773-697-3144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 HORACE BROWN DR",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480711867",
"telephone_number": "248-268-4477",
"fax_number": "248-268-4478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTIVATE HEALTHCARE - LOCAL 98 CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-29",
"last_updated": "2015-01-21",
"status": "A",
"authorized_official_last_name": "GEIHSLER",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "773-697-3144"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison Heights, MI
- A One Day Dentures, P.C.
- Crystal Abboud, PHARMD
- Abc Home Care Inc
- Robert C Abramowicz
- Accentcare @ Home of Michigan LLC (AccentCare Personal Care Services of Michigan)
- Activate Healthcare Michigan
- Active Outpatient Therapy LLC
- Active Rehab Center, Inc.
- Affordable Care Consulting, LLC
- Smita Ahluwalia, RPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.