| Wchc - Wayne Health Center | |
|
33030 Van Born Rd Wayne MI 48184-2453 | |
| (313) 871-1926 | |
| (313) 871-1964 |
| Full Name | Wchc - Wayne Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 33030 Van Born Rd, Wayne, Michigan |
| Authorized Official Name and Position | Thomas Kochis (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3138711926 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wchc - Wayne Health Center 9021 Joseph Campau St Hamtramck MI 48212-3726 Ph: (313) 871-1926 | Wchc - Wayne Health Center 33030 Van Born Rd Wayne MI 48184-2453 Ph: (313) 871-1926 |
| NPI Number | 1538543160 |
|---|---|
| Provider Enumeration Date | 07/14/2015 |
| Last Update Date | 02/08/2024 |
| Medicare PECOS PAC ID | 2961462635 |
|---|---|
| Medicare Enrollment ID | O20161027001536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538543160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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