| Family Medical Center Of Michigan | |
|
19801 Prevost St Detroit MI 48235-2356 | |
| (734) 850-6903 | |
| (734) 850-0520 |
| Full Name | Family Medical Center Of Michigan |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 19801 Prevost St, Detroit, Michigan |
| Authorized Official Name and Position | Ed Larkins (CEO) |
| Authorized Official Contact | 7348506914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Center Of Michigan 8765 Lewis Ave Temperance MI 48182-9300 Ph: (734) 847-3802 | Family Medical Center Of Michigan 19801 Prevost St Detroit MI 48235-2356 Ph: (734) 850-6903 |
| NPI Number | 1689327694 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 01/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689327694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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