MYCARE HEALTH CENTER NPI 1265749683

NPI Information

NPI: 1265749683
Provider Name: MYCARE HEALTH CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
18 MARKET STREET
SUITE C
MOUNT CLEMENS, MI
ZIP 48043
Phone: (586) 783-2222
Get Directions

MYCARE HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Mount Clemens, MI. MYCARE HEALTH CENTER NPI is 1265749683. The provider is registered as an organization entity type.

The provider's business location address is:

18 MARKET STREET
SUITE C
MOUNT CLEMENS, MI
ZIP 48043
Phone: (586) 783-2222
Fax: (586) 783-6944

The provider's authorized official is Karen Wood .
The authorized official title is Ceo and has the following contact phone number (586) 619-9986.

The enumeration date for this NPI number is 9/7/2010 and was last updated on 7/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		MICHIGAN	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0E03765	OTHER	MICHIGAN	BC NP GROUP PIN
2	1265749683	MEDICAID	MICHIGAN
3	080E031630	OTHER	MICHIGAN	BCBS GROUP
4	080E031630	OTHER	MICHIGAN	BCN GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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