| Center For Family Health At Lifeways | |
|
1200 N West Ave Jackson MI 49202-2179 | |
| (517) 748-5500 | |
| (517) 780-9286 |
| Full Name | Center For Family Health At Lifeways |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 N West Ave, Jackson, Michigan |
| Authorized Official Name and Position | Molly Kaser (CEO) |
| Authorized Official Contact | 5177485500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Family Health At Lifeways 505 N Jackson St Jackson MI 49201-1266 Ph: (517) 748-5500 | Center For Family Health At Lifeways 1200 N West Ave Jackson MI 49202-2179 Ph: (517) 748-5500 |
| NPI Number | 1124369970 |
|---|---|
| Provider Enumeration Date | 03/04/2013 |
| Last Update Date | 02/10/2022 |
| Medicare PECOS PAC ID | 4587574421 |
|---|---|
| Medicare Enrollment ID | O20130725000840 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124369970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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