GLADWIN FAMILY CARE CENTER P C – NPI #1104931211
Clinic/Center

GLADWIN FAMILY CARE CENTER P C is an AHC clinic located in GLADWIN, MI. NPPES has assigned the NPI number 1104931211 to GLADWIN FAMILY CARE CENTER P C on August 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

The NPI profile was previously updated about 19 years ago on Nov 01, 2007. 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 GLADWIN FAMILY CARE CENTER P C below.

NPI Profile for
GLADWIN FAMILY CARE CENTER P C

NPI Number
1104931211
Enumeration Date

(about 20 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
GLADWIN FAMILY CARE CENTER P C
Primary location
2137 W M61
GLADWIN, MI 48624
Phone: (989) 426-9399 Fax: (989) 246-2257
Mailing address
3061 CHRISTY WAY
SAGINAW, MI 48603-2267
Phone: (989) 791-2455 Fax: (989) 791-1392
Organization Subpart
No
Authorized Official
HICHAM CHURBAJI
PRESIDENT
Phone: (989) 426-9399
Updated
Identifiers

Identifiers for GLADWIN FAMILY CARE CENTER P C

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
MEDICAIDMI4276035
MEDICAIDMI4920566
MEDICAIDMI5214752
MEDICAIDMI4989200
MEDICAIDMI5203202
MEDICAIDMI7116734
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
261QH0100X
- Clinic/Center / Health Service (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.