Organization · Type 2 NPI

County of Ingham

Federally Qualified Health Center (FQHC) · East Lansing, MI

NPI number 1629772033 Active

Practice location

509 Burcham Dr
East Lansing, MI 48823-2750

Call (517) 898-3871 Map

Fax (517) 484-5169

Mailing address

PO Box 30161
Lansing, MI 48909-7661

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Joshua Barrons, LLPCProfessional Counselor East Lansing, MI NPI 1023465465

NPI record

NPI: 1629772033
Entity type: Organization (Type 2)
Issued: Mar 29, 2023
Last updated: Feb 12, 2024
Status: Active

Other names

<unavail>
East Lansing Community Health Center · doing business as
East Lansing Community Health Center · doing business as

Authorized official

Kris Drake
Dho /ed
(517) 887-4361

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1629772033

County of Ingham's National Provider Identifier is 1629772033, issued on Mar 29, 2023. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in East Lansing, MI. The record was last updated on Feb 12, 2024.