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PHOENIX HEALTH CARE
NPI 1366796567
Family Medicine in River Rouge, MI

Active since November 09, 2012
10475 W JEFFERSON AVE, RIVER ROUGE, MI 48218(313) 342-8421 Get Directions Write a Review

NPPES record last updated: November 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix Health Care NPPES

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

PHOENIX HEALTH CARE (NPI 1366796567) is a healthcare organization registered as a family medicine in River Rouge, Michigan and active in the NPI registry since November 2012. The organization lists Gerald Hudson, Owner, as its authorized official.

NPPES Registry Identity

NPI1366796567
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHOENIX HEALTH CARE
Location Address10475 W JEFFERSON AVERiver Rouge, MI 48218-1331
Mailing Address10475 W Jefferson AveRiver Rouge, MI 48218-1331 · (313) 342-8421
Phone(313) 342-8421
Organization SubpartNo
Authorized OfficialGerald HudsonOwner · (313) 342-8421
Enumeration DateNovember 9, 2012
✔ NPI 1366796567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301091092
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10475 W JEFFERSON AVE, River Rouge, MI 48218
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Phoenix Health Care's NPI number?

The NPI number for Phoenix Health Care is 1366796567. It was assigned to this organization in the NPPES registry on November 9, 2012.

Where is Phoenix Health Care located?

Phoenix Health Care is located at 10475 W Jefferson Ave, River Rouge, MI 48218. The listed phone number is (313) 342-8421.

What is Phoenix Health Care's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Health Care was last updated on November 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.