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PACKARD HEALTH, INC.
NPI 1841687589
Clinic/Center - Federally Qualified Health Center (FQHC) in Ann Arbor, MI

Active since April 21, 2015CLIA Certified · 3 labs
1915 PAULINE BLVD, ANN ARBOR, MI 48103(734) 926-4900(734) 926-4901 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 5, 2022, Dec 17, 2020 (2 updates tracked since 2020).

About Packard Health, Inc. NPPES

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

PACKARD HEALTH, INC. (NPI 1841687589) is a healthcare organization registered as a federally qualified health center (fqhc) in Ann Arbor, Michigan and active in the NPI registry since April 2015. The organization holds 3 active CLIA laboratory certificates and lists Todd Montrief, Cfo, as its authorized official.

NPPES Registry Identity

NPI1841687589
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePACKARD HEALTH, INC.
Location Address1915 PAULINE BLVDAnn Arbor, MI 48103-5001
Mailing Address5200 Venture DrAnn Arbor, MI 48108-9561 · (734) 926-4935 · Fax (734) 773-1833
Phone(734) 926-4900
Fax(734) 926-4901
Organization SubpartNo
Authorized OfficialTodd MontriefCfo · (734) 926-4935
Enumeration DateApril 21, 2015
Last NPPES UpdateOctober 5, 20222 updates tracked since enumeration
NPPES CertifiedOctober 5, 2022
✔ NPI 1841687589 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
1915 PAULINE BLVD, Ann Arbor, MI 48103
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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.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 for Provider-Performed Microscopy Procedures (PPMP) 23D2007506

Packard Health · Ann Arbor, MI
Active · expires Mar 28, 2027
CLIA Number23D2007506
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorRaymond Rion
Laboratory Phone(734) 926-4900
Laboratory LocationPackard Health1915 Pauline Blvd, Ann Arbor, MI 48103
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 23D2286516

Packard Health · Ypsilanti, MI
Active · expires Jul 30, 2027
CLIA Number23D2286516
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorAnkoor Soni
Laboratory Phone(734) 926-4900
Laboratory LocationPackard Health2345 Tyler Road, Ypsilanti, MI 48198
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D2110137

Packard Health At Delonis Center · Ann Arbor, MI
Active · expires Mar 8, 2028
CLIA Number23D2110137
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 9, 2026
Certificate Expiration DateMarch 8, 2028
Laboratory DirectorRaymond J. Rion
Laboratory Phone(734) 996-3059
Laboratory LocationPackard Health At Delonis Center312 W Huron Street, Ann Arbor, MI 48103
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

IHA HEALTH SERVICES CORPORATION
Internal Medicine
1915 PAULINE BLVD
ANN ARBOR, MI 48103
Washtenaw County (734) 995-2259
BRIAN SWINDELL DESMOND MD
Family Medicine
1915 PAULINE BLVD
ANN ARBOR, MI 48103
Washtenaw County (734) 926-4900
DR. HOLLY ELAINE ROSS M.D.
Family Medicine
1915 PAULINE BLVD
ANN ARBOR, MI 48103
Washtenaw County (734) 926-4900
IHA HEALTH SERVICES CORPORATION
Obstetrics & Gynecology
1915 PAULINE BLVD
ANN ARBOR, MI 48103
Washtenaw County (734) 995-2259

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 Packard Health, Inc.'s NPI number?

The NPI number for Packard Health, Inc. is 1841687589. It was assigned to this organization in the NPPES registry on April 21, 2015.

Where is Packard Health, Inc. located?

Packard Health, Inc. is located at 1915 Pauline Blvd, Ann Arbor, MI 48103. The listed phone number is (734) 926-4900.

What is Packard Health, Inc.'s specialty?

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

Does Packard Health, Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Packard Health, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Packard Health, 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 Packard Health, Inc. was last updated on October 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.