American Indian Health And Family Services Of Southeastern Mi Inc

LBN: American Indian Health And Family Services Of Southeastern Mi Inc
American Indian Health And Family Services Of Southeastern Mi Inc is an health care organization with primary practice located at 4880 Lawndalestreet , Detroit MI 48210. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. American Indian Health And Family Services Of Southeastern Mi Inc can be contacted via phone (313) 846-3718, or through Assaf, Waneta via phone (313) 846-3718.

Contact Information

Primary practice address
4880 Lawndalestreet Detroit MI 48210
Phone: (313) 846-3718
Fax: (313) 846-0150
Website:
Map and Directions
Authorized official contact:
Name: Assaf, Waneta
Phone: (313) 846-3718

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1366552804
LBN Legal business name American Indian Health And Family Services Of Southeastern Mi Inc
DBA Doing business as
Authorized official Assaf, Waneta
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Apr 21st, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366552804 NPPES
Michigan Other 0H21011 BCBSM PIN/FACILITY CODE

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