Organization
COUNTY OF INGHAM
Active
Other names
Gardner Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ADENIKE TOLULUPE SHOYINKA (OA - MEDICAL HEALTH OFFICER)
(517) 887-4466
Entity
Organization
Contact information
Practice address
333 DAHLIA DR RM E315, LANSING, MI 48911-3789
(517) 272-4115
Mailing address
PO BOX 30161, LANSING, MI 48909-7661
(517) 887-4383
(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
01
—
231155
PTAN
MI
Enumeration date
05/22/2019
Last updated
10/15/2025
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