| Chass Mack | |
|
3426 Mack Avenue Detroit MI 48207 | |
| (313) 849-3920 | |
| Not Available |
| Full Name | Chass Mack |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3426 Mack Avenue, Detroit, Michigan |
| Authorized Official Name and Position | Felix Mario Valbuena (CEO) |
| Authorized Official Contact | 3138493920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chass Mack 5635 W Fort St Detroit MI 48209-3154 Ph: (313) 849-3920 | Chass Mack 3426 Mack Avenue Detroit MI 48207 Ph: (313) 849-3920 |
| NPI Number | 1013617364 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013617364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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