Northeast Health Center

LBN: Center For Family Health
Northeast Health Center is an health care organization with primary practice located at 1024 Fleming Ave , Jackson MI 49202-2536. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School, Dental Providers / General Practice, Dental Providers / Dental Hygienist, 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 / Family. 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) 787-4361, or through Mayo, Michelle via phone (517) 748-5500.

Contact Information

Primary practice address
1024 Fleming Ave Jackson MI 49202-2536
Phone: (517) 787-4361
Fax: (517) 787-4983
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
Dental Providers / General Practice 1223G0001X Michigan
Dental Providers / Dental Hygienist 124Q00000X 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 / Family 363LF0000X Michigan

Profile Details

NPI number 1922171479
LBN Legal business name Center For Family Health
DBA Doing business as Northeast Health Center
Authorized official Mayo, Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922171479 NPPES
Michigan Other 700C810070 BCBSM GROUP NUMBER
Michigan Other 500C807070 BCBSM GROUP NUMBER

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