Holy Family Clinic PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301073146 Issued in MI

Legal business name

HOLY FAMILY CLINIC PLC

Practice address

502 E Cummins St
Tecumseh, MI 49286-2074

Phone

(517) 423-5508

Fax

(517) 423-4772

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Maria Adela Asis Cordoba-Naugit, M.D.

Title

Physician

Phone

(517) 423-5508

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1952573248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E CUMMINS ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492862074",
            "telephone_number": "517-423-5508",
            "fax_number": "517-423-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E CUMMINS ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492862074",
            "telephone_number": "517-423-5508",
            "fax_number": "517-423-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY FAMILY CLINIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "CORDOBA-NAUGIT",
        "authorized_official_first_name": "MARIA ADELA",
        "authorized_official_middle_name": "ASIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "517-423-5508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301073146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0804610351",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amanda Huizenga
• Lynn Kay Hunt, MSW

• Family Medicine Physician in Tecumseh, MI
• Providers in Tecumseh, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.