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Organization

CENTER FOR FAMILY HEALTH

Active
Other names
Center for Family Health Blackstone
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE J MAYO (PATIENT ACCOUNTS MANAGER)
(517) 748-5500
Entity
Organization

Contact information

Practice address
300 S BLACKSTONE ST, JACKSON, MI 49201-2204
(517) 539-8620
(517) 539-5668
Mailing address
505 N JACKSON ST, JACKSON, MI 49201-1266
(517) 748-5500

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207V00000X
Obstetrics & Gynecology Physician
208000000X
Pediatrics Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
363LA2200X
Adult Health Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LP0200X
Pediatric Nurse Practitioner
364SW0102X
Women's Health Clinical Nurse Specialist

Other

Enumeration date
09/14/2023
Last updated
06/06/2024
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