EAST JORDAN FAMILY HEALTH CENTER; NPI #1669680187

Contact Information

EAST JORDAN FAMILY HEALTH CENTER

7960 W. OLD STATE ROAD
CENTRAL LAKE, MI 49622

Phone: 231-544-3700
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for EAST JORDAN FAMILY HEALTH CENTER

NPI Number	`1669680187`
LBN Legal business name	EAST JORDAN FAMILY HEALTH CENTER
Authorized official	DANIEL MCKINNON - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/18/2007
Last updated	12/22/2025 - About 6 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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