| County Of Ingham | |
|
812 E Jolly Rd Lansing MI 48910-6818 | |
| (517) 244-8030 | |
| (517) 393-3147 |
| Full Name | County Of Ingham |
|---|---|
| Speciality | Clinic/Center |
| Location | 812 E Jolly Rd, Lansing, Michigan |
| Authorized Official Name and Position | Adenike Tolulupe Shoyinka (AO - MEDICAL HEALTH OFFICER) |
| Authorized Official Contact | 5178874466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Ingham Po Box 30161 Lansing MI 48909-7661 Ph: (517) 887-4383 | County Of Ingham 812 E Jolly Rd Lansing MI 48910-6818 Ph: (517) 244-8030 |
| NPI Number | 1639422728 |
|---|---|
| Provider Enumeration Date | 10/26/2012 |
| Last Update Date | 10/15/2025 |
| Medicare PECOS PAC ID | 7810899622 |
|---|---|
| Medicare Enrollment ID | O20130221000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639422728 | NPI | - | NPPES |
| 23-1003 | Other | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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