Organization
CENTER FOR FAMILY HEALTH
Active
Other names
Center for Family Health Rose City Office
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE MAYO (PATIENT ACCOUNT SUPERVISOR)
(517) 784-3950
Entity
Organization
Contact information
Practice address
300 W WASHINGTON AVE, SUITE 060, JACKSON, MI 49201-2180
(517) 787-5970
(517) 787-3353
Mailing address
PO BOX 548, JACKSON, MI 49204-0548
(517) 784-3950
(517) 783-2728
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
MI
1223G0001X
General Practice Dentistry
—
MI
124Q00000X
Dental Hygienist
—
MI
207Q00000X
Family Medicine Physician
Primary
—
MI
207R00000X
Internal Medicine Physician
—
MI
363AM0700X
Medical Physician Assistant
—
MI
363L00000X
Nurse Practitioner
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500C807070
BCBSM GROUP PROVIDER
MI
01
—
700C810070
BLUE CROSS BLUE SHIELD
MI
Enumeration date
11/09/2006
Last updated
09/02/2009
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