| Oscar Paskal Health Center | |
|
12800 E Warren Ave Detroit MI 48215-2061 | |
| (313) 343-2887 | |
| (313) 343-2889 |
| Full Name | Oscar Paskal Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 12800 E Warren Ave, Detroit, Michigan |
| Authorized Official Name and Position | Mahipal Rao Kakarala (SRVP/CFO) |
| Authorized Official Contact | 3138212591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oscar Paskal Health Center 12800 E Warren Ave Detroit MI 48215-2061 Ph: (313) 343-2887 | Oscar Paskal Health Center 12800 E Warren Ave Detroit MI 48215-2061 Ph: (313) 343-2887 |
| NPI Number | 1063790186 |
|---|---|
| Provider Enumeration Date | 07/22/2011 |
| Last Update Date | 07/08/2015 |
| Medicare PECOS PAC ID | 9234021148 |
|---|---|
| Medicare Enrollment ID | O20140212000869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063790186 | NPI | - | NPPES |
| ON30150 | Other | MI | MEDICARE ID |
| 1992196 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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