| Central City Health (veterans Village) | |
|
4777 E Outer Dr Detroit MI 48234-3241 | |
| (313) 831-3160 | |
| Not Available |
| Full Name | Central City Health (veterans Village) |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4777 E Outer Dr, Detroit, Michigan |
| Authorized Official Name and Position | Michelle Riley (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3132218595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central City Health (veterans Village) 10 Peterboro St Detroit MI 48201-2722 Ph: (313) 831-3160 | Central City Health (veterans Village) 4777 E Outer Dr Detroit MI 48234-3241 Ph: (313) 831-3160 |
| NPI Number | 1811737711 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 07/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811737711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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