Minden City Community Healthcare Outreach in Fort Gratiot - Community Health
Minden City Community Healthcare Outreach - NPI 1720018823
Minden City Community Healthcare Outreach is a Community Health in Fort Gratiot, Michigan. Minden City Community Healthcare Outreach practices all healthcare services and medical treatments related to Community Health. The NPI Number for Minden City Community Healthcare Outreach is 1720018823. The last update date is 2020-08-22.
Minden City Community Healthcare Outreach's current location address is 28 Deer Creek Drive, Fort Gratiot, Michigan. You can contact this provider via phone number 9898645328. The mailing address for Minden City Community Healthcare Outreach is 28 Deer Creek Drive, Fort Gratiot, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Minden City Community Healthcare Outreach |
|---|---|
| Address | 28 Deer Creek Drive, Fort Gratiot, Michigan |
| Phone Number | 9898645328 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Brown Kathryn Lindsay |
| Credentials | P.A.-C |
| Telephone Number | 8103852290 |
NPI Number Detail
| NPI Number | 1720018823 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 28 Deer Creek Drive |
|---|---|
| City | Fort Gratiot |
| State | Michigan (MI) |
| Post Code | 480590 |
| Phone Number | 9898645328 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Health |
|---|---|
| Taxonomy | 261Qc1500X |
| Licence No | 5601003334 |
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Definition: Provides primary medical, dental, mental health, social and preventive services tailored to its community. |
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What is the unique provider identifier assigned to Minden City Community Healthcare Outreach?
The Minden City Community Healthcare Outreach has been issued the NPI (National Provider Identifier) 1720018823 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Minden City Community Healthcare Outreach?
The Minden City Community Healthcare Outreach is situated at 28 Deer Creek Drive, in the city of Fort Gratiot, state of MI, with the zip code 480590.
What is Minden City Community Healthcare Outreach's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Minden City Community Healthcare Outreach's specialized field of practice is Community Health, and the corresponding taxonomy code that categorizes this area of specialization is 261Qc1500X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720018823 to Minden City Community Healthcare Outreach?
The Centers for Medicare & Medicaid Services originally issued the 1720018823 to Minden City Community Healthcare Outreach on 2006-07-04.
As of what date were the details related to Minden City Community Healthcare Outreach most recently updated or revised?
The information pertaining to Minden City Community Healthcare Outreach, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.