Organization Name: | WESTERN WAYNE FAMILY HEALTH CENTERS |
NPI Number: | 1023250412 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA ATKINS (CEO) |
Mailing Address: | 26650 Eureka Rd Suite C-1 Taylor |
State: | MI US |
Postal Code: | 481804835 |
Phone Number: | 7349414991 |
Fax Number: | 7349414919 |
NPI Enumeration Date: | 03/31/2009 |
NPI Last Update Date: | 01/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |