| Project Healthy Community | |
|
18100 Meyers Rd Detroit MI 48235-1426 | |
| (248) 892-4585 | |
| Not Available |
| Full Name | Project Healthy Community |
|---|---|
| Speciality | Family Medicine |
| Location | 18100 Meyers Rd, Detroit, Michigan |
| Authorized Official Name and Position | Sasha Kersey (DIRECTOR OF FAMILY WELLNESS PROGRAM) |
| Authorized Official Contact | 3138981441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Healthy Community Po Box 252433 West Bloomfield MI 48325-2433 Ph: (248) 892-4585 | Project Healthy Community 18100 Meyers Rd Detroit MI 48235-1426 Ph: (248) 892-4585 |
| NPI Number | 1114761988 |
|---|---|
| Provider Enumeration Date | 06/25/2024 |
| Last Update Date | 04/18/2025 |
| Medicare PECOS PAC ID | 6204361041 |
|---|---|
| Medicare Enrollment ID | O20241203001117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114761988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Karen Rubenfire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437279171 PECOS PAC ID: 1951409739 Enrollment ID: I20070601000031 |
| Provider Name | Krysta Lin Paciocco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033773478 PECOS PAC ID: 7517492390 Enrollment ID: I20241203002462 |
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