| Health Centers Detroit Medical Group | |
|
4201 Saint Antoine St 7a Detroit MI 48201-2153 | |
| (313) 745-4091 | |
| (313) 966-0993 |
| Full Name | Health Centers Detroit Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 4201 Saint Antoine St, Detroit, Michigan |
| Authorized Official Name and Position | Herbert C. Smitherman (PRESIDENT & CEO) |
| Authorized Official Contact | 3139665187 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Centers Detroit Medical Group 4201 Saint Antoine St 9d Detroit MI 48201-2153 Ph: (313) 966-5187 | Health Centers Detroit Medical Group 4201 Saint Antoine St 7a Detroit MI 48201-2153 Ph: (313) 745-4091 |
| NPI Number | 1770657785 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 01/20/2012 |
| Medicare PECOS PAC ID | 4284539081 |
|---|---|
| Medicare Enrollment ID | O20230126002440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770657785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 443750 (Michigan) | Primary |
Central City Health (cherry Health) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8333 Townsend St, Detroit, MI 48213 Phone: 313-831-3160 | |
Smith Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7800 W Outer Dr, Suite 230, Detroit, MI 48235 Phone: 313-535-0900 Fax: 313-535-3810 | |
St. John Hospital And Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 586-753-0011 | |
Chass Mack Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3426 Mack Avenue, Detroit, MI 48207 Phone: 313-849-3920 | |
Health Care Medical Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17141 Hayes St, Detroit, MI 48205 Phone: 313-245-1700 Fax: 313-245-1701 | |
Mizrahi Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7633 E Jefferson Ave Ste 250, Detroit, MI 48214 Phone: 313-821-3338 Fax: 313-823-5363 | |
T L Sea Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15201 W Mcnichols Rd, Detroit, MI 48235 Phone: 313-516-3142 |