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SERVANTS HEART MOBILE MEDICAL CLINIC
NPI 1669293874
Clinic/Center - Medical Specialty in Detroit, MI

Active since October 21, 2024
15012 PENROD ST, DETROIT, MI 48223(623) 277-7828 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Servants Heart Mobile Medical Clinic NPPES

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

SERVANTS HEART MOBILE MEDICAL CLINIC (NPI 1669293874) is a healthcare organization registered as a medical specialty in Detroit, Michigan and active in the NPI registry since October 2024. The organization lists Paula Lorraine Hester, Ceo/healthcare Director, as its authorized official.

NPPES Registry Identity

NPI1669293874
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameSERVANTS HEART MOBILE MEDICAL CLINIC
Location Address15012 PENROD STDetroit, MI 48223-2337
Mailing Address25552 Shiawassee Rd Apt 521Southfield, MI 48033-3708 · (623) 277-7828
Phone(623) 277-7828
Organization SubpartNo
Authorized OfficialPaula Lorraine HesterCeo/healthcare Director · (623) 277-7828
Enumeration DateOctober 21, 2024
NPPES CertifiedOctober 21, 2024
✔ NPI 1669293874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

15012 PENROD ST, Detroit, MI 48223
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Other Providers at the Same Location NPPES 2

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

ST CHRISTOPHERS PRIVATE HOME HEALTHCARE AGENCY OF MICHIGAN
Home Health
15012 PENROD ST
DETROIT, MI 48223
Wayne County (623) 277-7828
ST CHRISTOPHERS PALLIATIVE & HOSPICE CARE OF MICHIGAN
Hospice, Inpatient
15012 PENROD ST
DETROIT, MI 48223
Wayne County (623) 277-7828

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 Servants Heart Mobile Medical Clinic's NPI number?

The NPI number for Servants Heart Mobile Medical Clinic is 1669293874. It was assigned to this organization in the NPPES registry on October 21, 2024.

Where is Servants Heart Mobile Medical Clinic located?

Servants Heart Mobile Medical Clinic is located at 15012 Penrod St, Detroit, MI 48223. The listed phone number is (623) 277-7828.

What is Servants Heart Mobile Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Servants Heart Mobile Medical Clinic was last updated on October 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.