| Health Emergency Lifeline Programs | |
|
1726 Howard St Detroit MI 48216-1921 | |
| (313) 832-3300 | |
| (313) 832-3393 |
| Full Name | Health Emergency Lifeline Programs |
|---|---|
| Speciality | Clinic/Center |
| Location | 1726 Howard St, Detroit, Michigan |
| Authorized Official Name and Position | Teresa Roscoe (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3138323300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Emergency Lifeline Programs 1726 Howard St Detroit MI 48216-1921 Ph: () - | Health Emergency Lifeline Programs 1726 Howard St Detroit MI 48216-1921 Ph: (313) 832-3300 |
| NPI Number | 1841511706 |
|---|---|
| Provider Enumeration Date | 06/15/2010 |
| Last Update Date | 06/15/2017 |
| Medicare PECOS PAC ID | 0446490015 |
|---|---|
| Medicare Enrollment ID | O20130702000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841511706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Bibban Kaur Deol |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1659320737 PECOS PAC ID: 6709898836 Enrollment ID: I20060608000040 |
| Provider Name | Allan Paul Frank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578727335 PECOS PAC ID: 3476611260 Enrollment ID: I20111114000537 |
| Provider Name | Latonya A Riddle Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508021536 PECOS PAC ID: 3779735279 Enrollment ID: I20121207000506 |
| Provider Name | Patrice D Wade-olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326475757 PECOS PAC ID: 5597992404 Enrollment ID: I20131223001016 |
| Provider Name | Jennifer Julia Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386072536 PECOS PAC ID: 9335440957 Enrollment ID: I20151223000893 |
| Provider Name | Jay S Fallon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245663111 PECOS PAC ID: 1850685611 Enrollment ID: I20160802002782 |
| Provider Name | Victoria Ervin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316495666 PECOS PAC ID: 8527355833 Enrollment ID: I20160929000708 |
| Provider Name | Claudia Jean Pierre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700209913 PECOS PAC ID: 1254674336 Enrollment ID: I20190511000160 |
| Provider Name | Joshua R Curie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750790614 PECOS PAC ID: 4789915216 Enrollment ID: I20191014002180 |
| Provider Name | Jasmine Nicole Mays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114579323 PECOS PAC ID: 6103250642 Enrollment ID: I20191217000069 |
| Provider Name | Lauren Harper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750628053 PECOS PAC ID: 1557791001 Enrollment ID: I20200423001759 |
| Provider Name | Dana Kabbani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558867572 PECOS PAC ID: 2062777162 Enrollment ID: I20210720000175 |
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