| Hamilton Community Health Network Inc. | |
|
225 E 5th St Suite 300 Flint MI 48502-1641 | |
| (810) 406-4246 | |
| (810) 424-6029 |
| Full Name | Hamilton Community Health Network Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 225 E 5th St, Flint, Michigan |
| Authorized Official Name and Position | Clarence R. Pierce (CEO) |
| Authorized Official Contact | 8104064950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamilton Community Health Network Inc. 225 E 5th St Suite 300 Flint MI 48502-1641 Ph: (810) 406-4246 | Hamilton Community Health Network Inc. 225 E 5th St Suite 300 Flint MI 48502-1641 Ph: (810) 406-4246 |
| NPI Number | 1386624278 |
|---|---|
| Provider Enumeration Date | 01/18/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1254249196 |
|---|---|
| Medicare Enrollment ID | O20031203000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386624278 | NPI | - | NPPES |
| TYPE 77 | Medicaid | MI | |
| 23-1907 | Other | MI | MEDICARE PART A: 420 W. FIFTH AVE., FLINT, MI 48503 |
| 23-1094 | Medicaid | MI | |
| 23-1128 | Medicaid | MI | |
| 23-1880 | Other | MI | MEDICARE PART A: 5710 CLIO RD., FLINT, MI 48504 |
| 23-1886 | Other | MI | MEDICARE PART A: G-3375 S. SAGINAW ST., BURTON, MI 48529 |
| 23-1806 | Other | MI | MEDICARE PART A: 4001 N. SAGINAW ST., FLINT, MI 48505 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Michigan) | Primary |
| Provider Name | Shawn M Wiggins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376691147 PECOS PAC ID: 2062319395 Enrollment ID: I20031216000155 |
| Provider Name | Keow M Goh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447256912 PECOS PAC ID: 4688568629 Enrollment ID: I20040211000454 |
| Provider Name | Jonathan Arbogast |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326140906 PECOS PAC ID: 3577457407 Enrollment ID: I20040211001012 |
| Provider Name | Huda Elhwairis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700936762 PECOS PAC ID: 8123083532 Enrollment ID: I20041124000782 |
| Provider Name | Osman M Mukhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063597904 PECOS PAC ID: 2769440635 Enrollment ID: I20041222000782 |
| Provider Name | Donald Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215907159 PECOS PAC ID: 5991735573 Enrollment ID: I20050813000110 |
| Provider Name | Michael J Giacalone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336129139 PECOS PAC ID: 2062433048 Enrollment ID: I20051219000363 |
| Provider Name | Gary T Roome |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376534396 PECOS PAC ID: 8921101486 Enrollment ID: I20070321000499 |
| Provider Name | Jennifer L Briscoe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649369885 PECOS PAC ID: 7911090931 Enrollment ID: I20070907000342 |
| Provider Name | David Bloom |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609967132 PECOS PAC ID: 3971644923 Enrollment ID: I20100113000049 |
| Provider Name | Margaret Reine Punch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487741252 PECOS PAC ID: 8527193200 Enrollment ID: I20100319000474 |
| Provider Name | Susan E Carsten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578770962 PECOS PAC ID: 7719179886 Enrollment ID: I20101007000465 |
| Provider Name | Joseph R Burtch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083676803 PECOS PAC ID: 3476748567 Enrollment ID: I20101115001078 |
| Provider Name | John T Stoffel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952458994 PECOS PAC ID: 9931161825 Enrollment ID: I20111105000073 |
| Provider Name | Lynn M Penfold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912276502 PECOS PAC ID: 6204003072 Enrollment ID: I20120119000024 |
| Provider Name | Leroy Johnson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972880268 PECOS PAC ID: 0345400792 Enrollment ID: I20120322000498 |
| Provider Name | Sarah Pope |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356570436 PECOS PAC ID: 9537325964 Enrollment ID: I20120730000236 |
| Provider Name | Ganesh S Palapattu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124074786 PECOS PAC ID: 0244276616 Enrollment ID: I20121115000465 |
| Provider Name | Shelia Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962747311 PECOS PAC ID: 5294966479 Enrollment ID: I20140421000486 |
| Provider Name | Karen S Hassell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396162343 PECOS PAC ID: 7416170394 Enrollment ID: I20140521002240 |
| Provider Name | Lindsey A Herrel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700029154 PECOS PAC ID: 5890911408 Enrollment ID: I20140716002076 |
| Provider Name | Rosalyn Elizabeth Maben-feaster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346567179 PECOS PAC ID: 4688890247 Enrollment ID: I20140717001244 |
| Provider Name | David Harold Pyatt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194034918 PECOS PAC ID: 7214154400 Enrollment ID: I20140812001404 |
| Provider Name | James M Dupree |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679720361 PECOS PAC ID: 2365661451 Enrollment ID: I20140923001264 |
| Provider Name | Jacqueline S Jeruss |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992817308 PECOS PAC ID: 7618900671 Enrollment ID: I20141006000039 |
| Provider Name | Topaz Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194151993 PECOS PAC ID: 8628298932 Enrollment ID: I20141009001102 |
| Provider Name | Maria Bernabe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851619423 PECOS PAC ID: 1355661984 Enrollment ID: I20150522000797 |
| Provider Name | Albert Ujkaj |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053700328 PECOS PAC ID: 6002127644 Enrollment ID: I20150623001489 |
| Provider Name | Chandy S Ellimoottil |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699903245 PECOS PAC ID: 4981917440 Enrollment ID: I20150714000298 |
| Provider Name | Zachary J Hillman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336301647 PECOS PAC ID: 9739478728 Enrollment ID: I20160513001647 |
| Provider Name | Sierra C Cuthpert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104171297 PECOS PAC ID: 6608167291 Enrollment ID: I20160629001863 |
| Provider Name | Lindsay K Admon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447514062 PECOS PAC ID: 9638476419 Enrollment ID: I20160712002133 |
| Provider Name | Antonia M Perry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780823369 PECOS PAC ID: 6800181892 Enrollment ID: I20160830002295 |
| Provider Name | Lynda Maxfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932654753 PECOS PAC ID: 1254627375 Enrollment ID: I20160915000915 |
| Provider Name | Pamela Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558739375 PECOS PAC ID: 1456648146 Enrollment ID: I20160923000482 |
| Provider Name | Jammie K Pierson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972041291 PECOS PAC ID: 7911274774 Enrollment ID: I20170525002461 |
| Provider Name | Eraina Poole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487822037 PECOS PAC ID: 4284901091 Enrollment ID: I20170530000132 |
| Provider Name | Paholo G Barboglio Romo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265608707 PECOS PAC ID: 5799090643 Enrollment ID: I20170713002676 |
| Provider Name | Shaheen Sheikh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780014373 PECOS PAC ID: 7113216839 Enrollment ID: I20171016001306 |
| Provider Name | Mary Nelson Sabo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942791074 PECOS PAC ID: 1052667227 Enrollment ID: I20180629001453 |
| Provider Name | Jaspreet Mann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184006280 PECOS PAC ID: 0648573345 Enrollment ID: I20190122002515 |
| Provider Name | Christopher Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922566728 PECOS PAC ID: 2860733581 Enrollment ID: I20190408000202 |
| Provider Name | Tonya Mary Lott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245874551 PECOS PAC ID: 7719308626 Enrollment ID: I20200602000598 |
| Provider Name | Christine Jarocki |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891164638 PECOS PAC ID: 1658627294 Enrollment ID: I20201014000976 |
| Provider Name | Andrea Marie Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447842372 PECOS PAC ID: 1052717402 Enrollment ID: I20210909002449 |
| Provider Name | Nicole Ann Mangett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710589585 PECOS PAC ID: 6204234214 Enrollment ID: I20211005003449 |
| Provider Name | Zena Sakka |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1285300962 PECOS PAC ID: 8224426879 Enrollment ID: I20211101001221 |
| Provider Name | William Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144985995 PECOS PAC ID: 2668863978 Enrollment ID: I20211221001915 |
| Provider Name | Komal S Patel |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1902117203 PECOS PAC ID: 2264712595 Enrollment ID: I20211222000688 |
| Provider Name | Amy Maya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851981229 PECOS PAC ID: 3173915519 Enrollment ID: I20220118000163 |
| Provider Name | Meredith Baumgartner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407417264 PECOS PAC ID: 0244565661 Enrollment ID: I20220510000523 |
| Provider Name | Bess Marie Connors |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528412517 PECOS PAC ID: 0749578144 Enrollment ID: I20220812002893 |
| Provider Name | Xavier Demarius Bradford |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1013641687 PECOS PAC ID: 4688050834 Enrollment ID: I20220926002776 |
| Provider Name | Anya Marie Harris |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1164962015 PECOS PAC ID: 2567839996 Enrollment ID: I20221027003151 |
| Provider Name | Sara Elmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417657958 PECOS PAC ID: 7810362308 Enrollment ID: I20230414001961 |
| Provider Name | Fathalrahman Abdalwahab Elamin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427267814 PECOS PAC ID: 5092807891 Enrollment ID: I20230804001894 |
| Provider Name | Jasmine Chivon Walker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598110587 PECOS PAC ID: 9931494408 Enrollment ID: I20230804002977 |
| Provider Name | Stephanie Lynn Cates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215541545 PECOS PAC ID: 2668827122 Enrollment ID: I20231018002852 |
| Provider Name | John Lott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710691423 PECOS PAC ID: 7012367261 Enrollment ID: I20231229001419 |
| Provider Name | Melinda Freeland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730618943 PECOS PAC ID: 9436500972 Enrollment ID: I20240109001351 |
| Provider Name | Jennifer Catherine Riske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245991314 PECOS PAC ID: 7719330752 Enrollment ID: I20240126000386 |
Hurley Pho Of Mid - Michigan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 W 8th Ave, Flint, MI 48503 Phone: 810-257-9653 | |
Mid Michigan Gastroenterology Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6240 Rashelle Dr Ste 204, Flint, MI 48507 Phone: 810-733-6300 Fax: 810-733-6344 | |
Dr. Michael T. Owczarzak, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5142 Miller Rd, Flint, MI 48507 Phone: 810-733-3660 Fax: 810-720-4777 | |
Physician In-home Services, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 Broadway Blvd, Flint, MI 48506 Phone: 810-239-7684 Fax: 810-239-4921 | |
S & K Vemuri, M.d. P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1397 S Linden Rd, Suite A, Flint, MI 48532 Phone: 810-720-9300 | |
F Khan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3433 Fenton Rd, Flint, MI 48507 Phone: 810-233-5133 Fax: 810-235-8656 | |
Hamilton Homeless Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 812 Root St, Ste 106, Flint, MI 48503 Phone: 810-789-9141 |