# CENTER FOR FAMILY HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Center for Family Health non FQHC services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700156999
- **Authorized official:** MS. MICHELLE J MAYO (PATIENT ACCOUNT MANAGER)
- **Authorized official phone:** (517) 748-5500

## Contact information

- **Practice address:** 505 N JACKSON ST, JACKSON, MI 49201-1266
- **Practice address phone:** (517) 748-5500
- **Practice address fax:** (517) 780-9286
- **Mailing address:** 505 N JACKSON ST, JACKSON, MI 49201-1266
- **Mailing address phone:** (517) 748-5500
- **Mailing address fax:** (517) 780-9286

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 124Q00000X | Dental Hygienist | — | NULL | — |
| 124Q00000X | Dental Hygienist | — | — | — |
| 126800000X | Dental Assistant | — | NULL | — |
| 126800000X | Dental Assistant | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | — |
| 364SW0102X | Women's Health Clinical Nurse Specialist | — | NULL | — |
| 364SW0102X | Women's Health Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 01/05/2012
- **Last updated:** 01/05/2012