Central Clinic, Pc

LBN: Central Clinic, Pc
Central Clinic, Pc is an health care organization with primary practice located at 603 Lansing Ave , Jackson MI 49202-3209. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Central Clinic, Pc can be contacted via phone (517) 787-8371, or through Oladele-Bankole, David O via phone (517) 787-8371.

Contact Information

Primary practice address
603 Lansing Ave Jackson MI 49202-3209
Phone: (517) 787-8371
Fax: (517) 787-2639
Website:
Map and Directions
Authorized official contact:
Name: Oladele-Bankole, David O Doctor of Medicine (MD)
Phone: (517) 787-8371

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 4301042822 Michigan

Profile Details

NPI number 1649469743
LBN Legal business name Central Clinic, Pc
DBA Doing business as
Authorized official Oladele-Bankole, David O Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2007
Last updated Sep 27th, 2010 - about 15 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 1649469743 NPPES
Michigan MEDICAID 2833980

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