| Moross Health Center | |
|
20901 Moross Rd Detroit MI 48236-2058 | |
| (313) 626-2600 | |
| (313) 626-2605 |
| Full Name | Moross Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 20901 Moross Rd, Detroit, Michigan |
| Authorized Official Name and Position | Anna Griebel Chavez (CFO) |
| Authorized Official Contact | 3135540485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moross Health Center 559 W Grand Blvd Detroit MI 48216-2200 Ph: (313) 554-0485 | Moross Health Center 20901 Moross Rd Detroit MI 48236-2058 Ph: (313) 626-2600 |
| NPI Number | 1689925075 |
|---|---|
| Provider Enumeration Date | 09/25/2012 |
| Last Update Date | 04/10/2023 |
| Medicare PECOS PAC ID | 1254393549 |
|---|---|
| Medicare Enrollment ID | O20130321000197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689925075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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