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DETROIT WAYNE COUNTY HEALTH AUTHORITY
NPI 1063364776
Clinic/Center - Federally Qualified Health Center (FQHC) in Southfield, MI

Active since February 13, 2026
23077 GREENFIELD RD STE 200, SOUTHFIELD, MI 48075(313) 824-1000(248) 569-9151 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Detroit Wayne County Health Authority NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DETROIT WAYNE COUNTY HEALTH AUTHORITY (NPI 1063364776) is a healthcare organization registered as a federally qualified health center (fqhc) in Southfield, Michigan and active in the NPI registry since February 2026. The organization lists Loretta Violet Bush, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063364776
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameDETROIT WAYNE COUNTY HEALTH AUTHORITY
Location Address23077 GREENFIELD RD STE 200Southfield, MI 48075-3750
Mailing Address23077 Greenfield Rd Ste 200Southfield, MI 48075-3750 · (313) 824-1000 · Fax (248) 569-9151
Phone(313) 824-1000
Fax(248) 569-9151
Organization SubpartNo
Authorized OfficialLoretta Violet BushCeo · (313) 824-1000
Enumeration DateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
✔ NPI 1063364776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
23077 GREENFIELD RD STE 200, Southfield, MI 48075
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SKYE MOTEN
Community Health Worker
23077 GREENFIELD RD STE 200
SOUTHFIELD, MI 48075
Oakland County (313) 824-1000
DONNA BURRELL CHW
Community Health Worker
23077 GREENFIELD RD STE 200
SOUTHFIELD, MI 48075
Oakland County (313) 824-1000
LAILA STAFFING & MANAGEMENT SERVICES INC
Non-emergency Medical Transport (VAN)
23077 GREENFIELD RD STE 200
SOUTHFIELD, MI 48075
Oakland County (248) 557-7336
CHRISTINA EZELL KIRKWOOD APRN, FNP-BC
Nurse Practitioner (Family)
23077 GREENFIELD RD STE 200
SOUTHFIELD, MI 48075
Oakland County (313) 824-1000
COVENANT NEUROLOGICAL SERVICES, PC
Clinic/Center (Medical Specialty)
23077 GREENFIELD RD STE 200
SOUTHFIELD, MI 48075
Oakland County (248) 569-5476
NOSHA MEDICAL SUPPLIES
Durable Medical Equipment & Medical Supplies
23077 GREENFIELD RD STE 200
SOUTHFIELD, MI 48075
Oakland County (734) 757-7130
DR. ANNE MARE ICE
Pediatrics (Adolescent Medicine)
23077 GREENFIELD RD STE 200
SOUTHFIELD, MI 48075
Oakland County (313) 824-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Detroit Wayne County Health Authority's NPI number?

The NPI number for Detroit Wayne County Health Authority is 1063364776. It was assigned to this organization in the NPPES registry on February 13, 2026.

Where is Detroit Wayne County Health Authority located?

Detroit Wayne County Health Authority is located at 23077 Greenfield Rd Ste 200, Southfield, MI 48075. The listed phone number is (313) 824-1000.

What is Detroit Wayne County Health Authority's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Detroit Wayne County Health Authority was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.