EAST JORDAN FAMILY HEALTH CENTER
NPI 1114958691
Clinic/Center - Federally Qualified Health Center (FQHC) in East Jordan, MI
About East Jordan Family Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST JORDAN FAMILY HEALTH CENTER (NPI 1114958691) is a healthcare organization registered as a federally qualified health center (fqhc) in East Jordan, Michigan and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 3, 2027 and lists Daniel Mckinnon, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
East Jordan Family Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to East Jordan Family Health Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 24Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D1014278
East Jordan Family Health Center · East Jordan, MIFrequently 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 East Jordan Family Health Center's NPI number?
The NPI number for East Jordan Family Health Center is 1114958691. It was assigned to this organization in the NPPES registry on July 5, 2006.
Where is East Jordan Family Health Center located?
East Jordan Family Health Center is located at 601 Bridge St, East Jordan, MI 49727. The listed phone number is (231) 536-2206.
What is East Jordan Family Health Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is East Jordan Family Health Center enrolled in Medicare?
Yes. East Jordan Family Health Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Jordan Family Health Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 5 Medicare specialties reassign their Medicare billing to East Jordan Family Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (11), Nurse Practitioner (8) and Clinical Social Worker (2). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does East Jordan Family Health Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D1014278) is associated with this NPI, valid through January 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does East Jordan Family Health Center accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list East Jordan Family Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for East Jordan Family Health Center was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# East Jordan Family Health Center · NPI 1114958691
Federally Qualified Health Center (FQHC) organization in East Jordan, Michigan. Organization record, active in the CMS NPPES registry since July 5, 2006.
## Identity
- **NPI:** 1114958691 (Entity type: Organization)
- **Enumerated:** July 5, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Daniel Mckinnon, CEO
## Practice location
- **Address:** 601 BRIDGE ST, East Jordan, MI 49727-9383
- **Phone:** (231) 536-2206 · **Fax:** (231) 536-9864
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 24 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (11), Nurse Practitioner (8), Clinical Social Worker (2); 4 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1114958691/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 22, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114958691) · Data from the CMS NPPES public registry.