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Organization

MYCARE HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN WOOD (CEO)
(586) 619-9986
Entity
Organization

Contact information

Practice address
18 MARKET STREET, SUITE C, MOUNT CLEMENS, MI 48043
(586) 783-2222
(586) 783-6944
Mailing address
6800 E 10 MILE RD, CENTER LINE, MI 48015-1167
(586) 619-9986
(586) 806-5085

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
MI
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080E031630
BCBS GROUP
MI
01
0E03765
BC NP GROUP PIN
MI
05
1265749683
MI
Enumeration date
09/07/2010
Last updated
07/07/2020
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