Organization
COUNTY OF INGHAM
Active
Organization
COUNTY OF INGHAM
Active
Other names
New Hope Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS DRAKE (DHO/ ED)
(517) 887-4361
Entity
Organization
Contact information
Practice address
430 N LARCH ST STE 1, LANSING, MI 48912-1283
(517) 253-5000
(517) 253-5010
Mailing address
PO BOX 30161, LANSING, MI 48909-7661
(517) 244-8019
(517) 244-7174
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C36051
MEDICARE PIN
MI
01
—
0M77560
MEDICARE PIN
MI
05
—
1326560145
—
MI
01
—
231118
PTAN
MI
Enumeration date
07/13/2017
Last updated
04/28/2022
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