Teen Center At Parkside

LBN: Center For Family Health
Teen Center At Parkside is an health care organization with primary practice located at 2400 4Th St , Jackson MI 49203-4573. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Center For Family Health can be contacted via phone (517) 788-6812, or through Mayo, Michelle via phone (517) 748-5500.

Contact Information

Primary practice address
2400 4Th St Jackson MI 49203-4573
Phone: (517) 788-6812
Fax: (517) 788-7722
Website:
Map and Directions
Authorized official contact:
Name: Mayo, Michelle
Phone: (517) 748-5500

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Michigan
Behavioral Health & Social Service Providers / School 1041S0200X Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Michigan
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Michigan

Profile Details

NPI number 1497825939
LBN Legal business name Center For Family Health
DBA Doing business as Teen Center At Parkside
Authorized official Mayo, Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
Last updated Feb 10th, 2022 - about 2 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497825939 NPPES
Michigan Other 700C810070 BCBSM GROUP PROVIDER
Michigan Other 500C807070 BCBSM GROUP PROVIDER

Popular Providers