| Detroit Health Care For The Homeless | |
|
4669 E 8 Mile Rd Warren MI 48091-2709 | |
| (313) 416-6200 | |
| (313) 221-8217 |
| Full Name | Detroit Health Care For The Homeless |
|---|---|
| Speciality | Clinic/Center |
| Location | 4669 E 8 Mile Rd, Warren, Michigan |
| Authorized Official Name and Position | Nina Abubakari (CEO) |
| Authorized Official Contact | 3134166223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit Health Care For The Homeless 100 River Place Dr Ste 450 Detroit MI 48207-5402 Ph: (313) 416-6262 | Detroit Health Care For The Homeless 4669 E 8 Mile Rd Warren MI 48091-2709 Ph: (313) 416-6200 |
| NPI Number | 1144371279 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 07/18/2024 |
| Medicare PECOS PAC ID | 2668368572 |
|---|---|
| Medicare Enrollment ID | O20040526000397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144371279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Michigan) | Primary |
| Provider Name | Patrice L Harold |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689630089 PECOS PAC ID: 4082607379 Enrollment ID: I20040405000149 |
| Provider Name | Alice M Kachman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750323432 PECOS PAC ID: 6103829379 Enrollment ID: I20060809000328 |
| Provider Name | Alissa M Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922486166 PECOS PAC ID: 5597035923 Enrollment ID: I20201023002648 |
| Provider Name | Celeste Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457723231 PECOS PAC ID: 2062822349 Enrollment ID: I20201028001732 |
| Provider Name | Dianne Walker-houston |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1508951237 PECOS PAC ID: 5294110425 Enrollment ID: I20220923001034 |
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