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DOWNRIVER COMMUNITY SERVICES INC. NPI 1851399570


NPI Information

NPI: 1851399570
Provider Name: DOWNRIVER COMMUNITY SERVICES, INC.

Doing Business As: COMMUNITY FIRST HEALTH CENTERS

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 23D0362584

Address:
555 SAINT CLAIR RIVER DR
ALGONAC, MI
ZIP 48001
Phone: (810) 794-4982
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DOWNRIVER COMMUNITY SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Algonac, MI. DOWNRIVER COMMUNITY SERVICES, INC. NPI is 1851399570. The provider is registered as an organization entity type.
The provider Is Doing Business As Community First Health Centers.

The provider's business location address is:

555 SAINT CLAIR RIVER DR
ALGONAC, MI
ZIP 48001-802
Phone: (810) 794-4982
Fax: (810) 794-4407

The provider's authorized official is Michael J Baranowski .
The authorized official title is Ceo and has the following contact phone number (586) 749-5197.

The CLIA number assigned to this NPI record is 23D0362584 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2005 and was last updated on 3/3/2017.


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
1261QF0400XClinic/CenterFederally 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
1231820MEDICARE OSCAR/CERTIFICATIONMICHIGAN
2ON25400MEDICARE PINMICHIGAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.