Detroit Community Health Connection, Inc.
LBN: Detroit Community Health Connection, Inc.
Detroit Community Health Connection, Inc. is an health care organization with primary practice located at 13901 E Jefferson Ave , Detroit MI 48215-2720. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Detroit Community Health Connection, Inc. can be contacted via phone (313) 822-0900, or through Kakarala, Mahipal Rao via phone (313) 821-2591.
Contact Information
Primary practice address
13901 E Jefferson Ave
Detroit MI 48215-2720
Phone: (313) 822-0900
Fax: (313) 822-0950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1982611562 |
|---|---|
| LBN Legal business name | Detroit Community Health Connection, Inc. |
| DBA Doing business as | |
| Authorized official | Kakarala, Mahipal Rao |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jun 24th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982611562 | NPPES |
| Michigan | MEDICAID | 1992196 | |
| Michigan | Other | 1982611562 |
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