American Indian Health And Family Services Of Southeastern Mi Inc | |
4880 Lawndalestreet Detroit MI 48210 | |
(313) 846-3718 | |
(313) 846-0150 |
Full Name | American Indian Health And Family Services Of Southeastern Mi Inc |
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Speciality | Clinic/Center |
Location | 4880 Lawndalestreet, Detroit, Michigan |
Authorized Official Name and Position | Waneta Assaf (DIRECTOR OF FINANCE) |
Authorized Official Contact | 3138463718 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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American Indian Health And Family Services Of Southeastern Mi Inc Po Box 810 Dearborn MI 48121 Ph: (313) 846-3718 | American Indian Health And Family Services Of Southeastern Mi Inc 4880 Lawndalestreet Detroit MI 48210 Ph: (313) 846-3718 |
NPI Number | 1366552804 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 04/21/2023 |
Medicare PECOS PAC ID | 4587631429 |
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Medicare Enrollment ID | O20040910001248 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366552804 | NPI | - | NPPES |
0H21011 | Other | MI | BCBSM PIN/FACILITY CODE |
Provider Name | Josette Marie French |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194790071 PECOS PAC ID: 6800864869 Enrollment ID: I20040917001204 |
Provider Name | Alice M Kachman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750323432 PECOS PAC ID: 6103829379 Enrollment ID: I20060809000328 |
Provider Name | David G Garcia |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1376756221 PECOS PAC ID: 4880831445 Enrollment ID: I20130520000319 |
Provider Name | Mary A Bernier |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720357791 PECOS PAC ID: 4183919038 Enrollment ID: I20160817001328 |
Provider Name | Steven Ware |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063877652 PECOS PAC ID: 3678816725 Enrollment ID: I20190514000367 |
Provider Name | Melissa Chivis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902215445 PECOS PAC ID: 6800128422 Enrollment ID: I20191031003097 |
Provider Name | Shaylice M Meserole |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912372350 PECOS PAC ID: 9032409057 Enrollment ID: I20200804001665 |
Provider Name | Violeta Donawa |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851865372 PECOS PAC ID: 0648665984 Enrollment ID: I20220323000482 |
Provider Name | Jesse L Klebba |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1861804577 PECOS PAC ID: 0547572455 Enrollment ID: I20220328000175 |
Provider Name | Alicia Steele |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679133227 PECOS PAC ID: 6507238581 Enrollment ID: I20230221002277 |
Provider Name | Shalynn Marie Rangel |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710617311 PECOS PAC ID: 0446610638 Enrollment ID: I20230719003618 |
Provider Name | Kimberly Taylor |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1528346707 PECOS PAC ID: 9537414081 Enrollment ID: I20240123001603 |
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