| Eastern Community Health Center | |
|
626 Marshall St Lansing MI 48912-2309 | |
| (517) 244-8014 | |
| (517) 244-7188 |
| Full Name | Eastern Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 626 Marshall St, Lansing, Michigan |
| Authorized Official Name and Position | Kris Drake (DHO / ED) |
| Authorized Official Contact | 5178874361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Community Health Center Po Box 30161 Lansing MI 48909-7661 Ph: (517) 887-4467 | Eastern Community Health Center 626 Marshall St Lansing MI 48912-2309 Ph: (517) 244-8014 |
| NPI Number | 1700431632 |
|---|---|
| Provider Enumeration Date | 08/07/2019 |
| Last Update Date | 04/28/2022 |
| Medicare PECOS PAC ID | 7810899622 |
|---|---|
| Medicare Enrollment ID | O20191023000452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700431632 | NPI | - | NPPES |
| 231148 | Other | MI | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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