SOUTH REDFORD SCHOOL BASED HEALTH CENTER
NPI 1629392576
Clinic/Center - Federally Qualified Health Center (FQHC) in Redford, MI
About South Redford School Based Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH REDFORD SCHOOL BASED HEALTH CENTER (NPI 1629392576) is a healthcare organization registered as a federally qualified health center (fqhc) in Redford, Michigan and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through November 30, 2026 and lists Lesley Willbrandt, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 23D2005671
South Redford School Based Health Center · Redford Twp, MIOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Botsford General Hospital's NPI number?
The NPI number for Botsford General Hospital is 1629392576. It was assigned to this organization in the NPPES registry on March 22, 2010. The provider is doing business as South Redford School Based Health Center.
Where is Botsford General Hospital located?
Botsford General Hospital is located at 25605 Orangelawn, Redford, MI 48239. The listed phone number is (248) 615-7458.
What is Botsford General Hospital's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Does Botsford General Hospital hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2005671) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Botsford General Hospital was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# South Redford School Based Health Center · NPI 1629392576
Federally Qualified Health Center (FQHC) organization in Redford, Michigan. Organization record, active in the CMS NPPES registry since March 22, 2010.
## Identity
- **NPI:** 1629392576 (Entity type: Organization)
- **Enumerated:** March 22, 2010
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Botsford General Hospital
- **Organization subpart:** Yes (part of Botsford General Hospital)
- **Authorized official:** Lesley Willbrandt, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 25605 ORANGELAWN, Redford, MI 48239-2048
- **Phone:** (248) 615-7458
## Record status
- **NPPES last updated:** October 30, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629392576) · Data from the CMS NPPES public registry.