Charter County of Wayne
Organization Active NPI Federally Qualified Health Center (FQHC) · Hamtramck, MI
NPI 1992134654 · NPPES record last updated Nov 4, 2013
Key facts
- NPI
- 1992134654
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- CHARTER COUNTY OF WAYNE
- Practice address
- 11447 Joseph Campau St
Hamtramck, MI 48212-3040 - Phone
- (313) 365-1362
- NPI assigned
- Nov 4, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. Mouhanad Hammami
- Title
- Chief of Health Operations
- Phone
- (313) 224-0810
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 10
Practitioners 1
-
Crystalyn Marchese, DNP, FNP
National Provider Directory
- Tax ID family
- Wayne Cty HLTH Dept
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
11447 Joseph Campau St
Hamtramck, MI 48212-3040
Mailing address
500 Griswold St
Detroit, MI 48226-3480
Other providers in Hamtramck, MI
- Campau Medical Supplies LLC
- Campau Pharmacy LLC
- Kevin Campbell
- Carelink Pharmacy
- Center for New Life
- Children First Pediatric Care PLLC
- Childrens Clinic of Michigan PLLC
- Tanbir Karim Choudhury
- MST Jannatul Mawa Chowdhury
- Soneya Akther Chowdhury
All providers in Hamtramck, MI · Federally Qualified Health Center (FQHC) in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.