| Institute For Population Health Inc. | |
|
19830 James Couzens Fwy Detroit MI 48235-1910 | |
| (313) 309-9350 | |
| (313) 309-9350 |
| Full Name | Institute For Population Health Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 19830 James Couzens Fwy, Detroit, Michigan |
| Authorized Official Name and Position | Kimberly Williamson (REVENUE MANAGER, BILLER) |
| Authorized Official Contact | 3133909350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Population Health Inc. 19830 James Couzens Fwy Detroit MI 48235-1910 Ph: (313) 309-9350 | Institute For Population Health Inc. 19830 James Couzens Fwy Detroit MI 48235-1910 Ph: (313) 309-9350 |
| NPI Number | 1336607431 |
|---|---|
| Provider Enumeration Date | 03/07/2019 |
| Last Update Date | 12/12/2023 |
| Medicare PECOS PAC ID | 6002030095 |
|---|---|
| Medicare Enrollment ID | O20190827000618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336607431 | NPI | - | NPPES |
| 71020000H28082 | Other | MI | BLUE CROSS |
| 231117 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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