| Detroit Health Care For The Homeless | |
|
15400 W Mcnichols Rd Detroit MI 48235-3724 | |
| (313) 835-5990 | |
| (313) 221-8217 |
| Full Name | Detroit Health Care For The Homeless |
|---|---|
| Speciality | Clinic/Center |
| Location | 15400 W Mcnichols Rd, Detroit, Michigan |
| Authorized Official Name and Position | Nina Abubakari (CEO) |
| Authorized Official Contact | 3134166259 |
| 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) 416-6200 | Detroit Health Care For The Homeless 15400 W Mcnichols Rd Detroit MI 48235-3724 Ph: (313) 835-5990 |
| NPI Number | 1871645309 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 04/20/2023 |
| Medicare PECOS PAC ID | 2668368572 |
|---|---|
| Medicare Enrollment ID | O20040226000898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871645309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Michigan) | Primary |
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