DETROIT WAYNE COUNTY HEALTH AUTHORITY
NPI 1962733089
Clinic/Center - Primary Care in Detroit, MI

Q: What is Detroit Wayne County Health Authority's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since January 29, 2010

10809 MACK AVE, DETROIT, MI 48214(313) 824-1000(313) 824-9000 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2026, Dec 1, 2025, Mar 17, 2016 (3 updates tracked since 2016).

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About Detroit Wayne County Health Authority NPPES

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

DETROIT WAYNE COUNTY HEALTH AUTHORITY (NPI 1962733089) is a healthcare organization registered as a primary care in Detroit, Michigan and active in the NPI registry since January 2010. The organization maintains 3 additional practice locations and lists Loretta Bush, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962733089

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameDETROIT WAYNE COUNTY HEALTH AUTHORITY

Location Address10809 MACK AVEDetroit, MI 48214-2119

Mailing Address3031 W Grand BlvdDetroit, MI 48202-3046 · (313) 824-1000 · Fax (313) 824-9000

Phone(313) 824-1000

Fax(313) 824-9000

Organization SubpartNo

Authorized OfficialLoretta BushCeo · (313) 871-3751

Enumeration DateJanuary 29, 2010

Last NPPES UpdateMay 19, 20263 updates tracked since enumeration

NPPES CertifiedMay 19, 2026

✔ NPI 1962733089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedPublic Health or WelfareTaxonomy 251K00000X · License 251K00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/CenterTaxonomy 261Q00000X

Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X

Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X

10809 MACK AVE, Detroit, MI 48214

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Secondary Practice Locations 3

Location 123077 Greenfield RdSouthfield, MI 48075-3709 · Phone (313) 824-1000 · Fax (248) 569-9151

Location 227777 Lahser Rd Ste 200Southfield, MI 48034-4751 · Phone (313) 824-1000 · Fax (248) 945-3498

Location 312121 Broadstreet AveDetroit, MI 48204-1550 · Phone (313) 824-1000 · Fax (313) 931-8656

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 11

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

METRO PHYSICAL THERAPY,INC.

Clinic/Center (Physical Therapy)