DETROIT WAYNE COUNTY HEALTH AUTHORITY
NPI 1245182963
Clinic/Center - Federally Qualified Health Center (FQHC) in Detroit, MI

Active since February 13, 2026
12121 BROADSTREET AVE, DETROIT, MI 48204(313) 824-1000(313) 931-8656 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 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 1245182963) is a healthcare organization registered as a federally qualified health center (fqhc) in Detroit, Michigan and active in the NPI registry since February 2026. The organization lists Loretta Violet Bush, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245182963
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameDETROIT WAYNE COUNTY HEALTH AUTHORITY
Location Address12121 BROADSTREET AVEDetroit, MI 48204-1550
Mailing Address12121 Broadstreet AveDetroit, MI 48204-1550 · (313) 824-1000 · Fax (313) 931-8656
Fax(313) 931-8656
Organization SubpartNo
Authorized OfficialLoretta Violet BushCeo · (313) 824-1000
Enumeration DateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
NPI 1245182963 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
12121 BROADSTREET AVE, Detroit, MI 48204

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
12121 BROADSTREET AVE
DETROIT, MI 48204
Nurse Practitioner (Acute Care)
12121 BROADSTREET AVE
DETROIT, MI 48204
Community Health Worker
12121 BROADSTREET AVE
DETROIT, MI 48204

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 1245182963. 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 12121 Broadstreet Ave, Detroit, MI 48204. 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 with the weekly NPPES data releases published by CMS.