| Children Medical Center | |
|
79 W Alexandrine St Detroit MI 48201-2015 | |
| (313) 833-2895 | |
| Not Available |
| Full Name | Children Medical Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 79 W Alexandrine St, Detroit, Michigan |
| Authorized Official Name and Position | Joseph W Ferguson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3134166200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children Medical Center 79 W Alexandrine St Detroit MI 48201-2015 Ph: (313) 833-2895 | Children Medical Center 79 W Alexandrine St Detroit MI 48201-2015 Ph: (313) 833-2895 |
| NPI Number | 1346591336 |
|---|---|
| Provider Enumeration Date | 10/01/2012 |
| Last Update Date | 10/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346591336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Michigan) | Primary |
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