EAST JORDAN FAMILY HEALTH CENTER – NPI #1669680187
Clinic/Center

EAST JORDAN FAMILY HEALTH CENTER is an AHC clinic located in CENTRAL LAKE, MI. NPPES has assigned the NPI number 1669680187 to EAST JORDAN FAMILY HEALTH CENTER on May 18, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Dec 22, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAST JORDAN FAMILY HEALTH CENTER below.

NPI Profile for
EAST JORDAN FAMILY HEALTH CENTER

NPI Number
1669680187
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EAST JORDAN FAMILY HEALTH CENTER
Primary location
7960 W. OLD STATE ROAD
CENTRAL LAKE, MI 49622
Phone: (231) 544-3700 Fax:
Mailing address
7960 W OLD STATE RD
CENTRAL LAKE, MI 49622-5149
Phone: (231) 544-3700 Fax:
Organization Subpart
No
Authorized Official
DANIEL MCKINNON
CEO
Phone: (231) 536-2206
Updated
Certification Date
Dec 22, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.