Community Health And Social Services Center, Inc in Detroit - Federally Qualified Health Center (fqhc)
Community Health And Social Services Center, Inc - NPI 1982694196
Community Health And Social Services Center, Inc is a Federally Qualified Health Center (fqhc) in Detroit, Michigan. Community Health And Social Services Center, Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Community Health And Social Services Center, Inc is 1982694196. The last update date is 2022-11-15.
Community Health And Social Services Center, Inc's current location address is 5635 W Fort St, Detroit, Michigan. You can contact this provider via phone number 3138493920 and fax number 3138490824. The mailing address for Community Health And Social Services Center, Inc is 5635 W Fort St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Health And Social Services Center, Inc |
|---|---|
| Address | 5635 W Fort St, Detroit, Michigan |
| Phone Number | 3138493920 |
| Fax Number | 3138490824 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Valbuena Mario Felix |
| Credentials | MD |
| Telephone Number | 3138493920 |
NPI Number Detail
| NPI Number | 1982694196 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2022-11-15 |
Provider Mailing Address Detail
| Address | 5635 W Fort St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482093154 |
| Phone Number | 3138493920 |
| Fax Number | 3138490824 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 080Q246390 | MI | BC/BS OF MICHIGAN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Community Health And Social Services Center, Inc?
The Community Health And Social Services Center, Inc has been issued the NPI (National Provider Identifier) 1982694196 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Community Health And Social Services Center, Inc is located?
The Community Health And Social Services Center, Inc is situated at the following address: 5635 W Fort St, Detroit, MI, 482093154.
What is the Community Health And Social Services Center, Inc's specialty and taxonomy code?
The Community Health And Social Services Center, Inc's specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
When did the Community Health And Social Services Center, Inc receive its 1982694196?
The Community Health And Social Services Center, Inc was issued its 1982694196 on 2005-10-27, which is the date when the organization was assigned this unique identifier.
As of what date were the Community Health And Social Services Center, Inc's details last updated?
The information pertaining to the Community Health And Social Services Center, Inc, including its address, specialty, and other details, was most recently updated on 2022-11-15.
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