NPIMap

Organization Active NPI

Blue Care Network of Mi

Doing business as Family Health Center of Blue Care Network

  • Family Medicine Physician
  • Lansing, MI
National Provider Identifier
1972530947
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301060832 Issued in MI
Legal business name
BLUE CARE NETWORK OF MI
Doing business as
Family Health Center of Blue Care Network
Practice address
1525 W Lake Lansing Rd
Lansing, MI 48823
Phone
(517) 664-4727
NPI assigned
Jun 27, 2006
Last updated
Sep 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Dr. Derek Lanier, MD
Title
Medical Director
Phone
(517) 322-8007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301060832 MI Primary

Addresses

Primary practice location

1525 W Lake Lansing Rd
Lansing, MI 48823

Mailing address

P O Box 77000
Department 77251
Detroit, MI 48277-0251
Phone (517) 664-4727

Other identifiers 1

IdentifierTypeStateIssuer
110C360380OtherMIBCBS

Other names 1

  • Family Health Center of Blue Care Network Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blue Care Network of Mi5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1972530947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 77000",
            "address_2": "DEPARTMENT 77251",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482770251",
            "telephone_number": "517-664-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W LAKE LANSING RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48823",
            "telephone_number": "517-664-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE CARE NETWORK OF MI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "517-322-8007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301060832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "110C360380",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Center of Blue Care Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.