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WOODWARD CORRIDOR FAMILY MEDICAL CENTER
NPI 1790948982
Clinic/Center - Federally Qualified Health Center (FQHC) in Detroit, MI

Active since July 08, 2008
611 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48201(313) 832-6300(313) 832-8341 Get Directions Write a Review

NPPES record last updated: April 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Woodward Corridor Family Medical Center NPPES

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

WOODWARD CORRIDOR FAMILY MEDICAL CENTER (NPI 1790948982) is a healthcare organization registered as a federally qualified health center (fqhc) in Detroit, Michigan and active in the NPI registry since July 2008. The organization lists Mahipal Rao Kakarala, Srvp/cfo, as its authorized official.

NPPES Registry Identity

NPI1790948982
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameDETROIT COMMUNITY HEALTH CONNECTION, INC
Location Address611 MARTIN LUTHER KING JR BLVDDetroit, MI 48201-2273
Mailing Address13901 E Jefferson AveDetroit, MI 48215-2720 · (313) 821-2591 · Fax (313) 822-4202
Phone(313) 832-6300
Fax(313) 832-8341
Organization SubpartYesParent: Detroit Community Health Connection, Inc.
Authorized OfficialMahipal Rao KakaralaSrvp/cfo · (313) 821-2591
Enumeration DateJuly 8, 2008
Last NPPES UpdateApril 27, 2013
✔ NPI 1790948982 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
611 MARTIN LUTHER KING JR BLVD, Detroit, MI 48201
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Other Names 1

Doing Business AsWoodward Corridor Family Medical Center

Other Identifiers 1

Medicare OSCAR/certification231936

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

RONALDO B SUPENA MD
Internal Medicine (Infectious Disease)
611 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48201
Wayne County (313) 832-6300
MS. LAVETTA ANNETTE PICKENS NURSE PRACTITIONER
Nurse Practitioner (Primary Care)
611 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48201
Wayne County (313) 832-6300
CEDRICK D HARRELL CHW
Community Health Worker
611 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48201
Wayne County (313) 832-6300
CHRISTOPHER LEE LASTER CHW
Community Health Worker
611 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48201
Wayne County (313) 822-0900

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 Community Health Connection, Inc's NPI number?

The NPI number for Detroit Community Health Connection, Inc is 1790948982. It was assigned to this organization in the NPPES registry on July 8, 2008. The provider is doing business as Woodward Corridor Family Medical Center.

Where is Detroit Community Health Connection, Inc located?

Detroit Community Health Connection, Inc is located at 611 Martin Luther King Jr Blvd, Detroit, MI 48201. The listed phone number is (313) 832-6300.

What is Detroit Community Health Connection, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Detroit Community Health Connection, Inc 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 Detroit Community Health Connection, Inc 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 Detroit Community Health Connection, Inc was last updated on April 27, 2013. 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.