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NPI · 1174632087 · NPPES-sourced

Vandyke Medical Clinic Management Corp

ActiveHealth Service Clinic/Center
NPI Number
1174632087
Type 2 · Organisation
Taxonomy Code
261QH0100X
Contact
(313) 893-2010
License MI · 4301081357
Last Updated
Enumerated
Primary practice addressMI · 48234-3323
19431 Van Dyke StDetroit, MI 48234-3323
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About this NPIWhat this record shows.

NPI 1174632087 is registered to Vandyke Medical Clinic Management Corp, a healthcare organisation classified as "Health Service Clinic/Center" and located at 19431 Van Dyke St in Detroit, Michigan. The organisation's authorised official is Ernest Mullen. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Other

  • 080H249740MI· Issued by BLUE CROSS GROUP PIN

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Vandyke Medical Clinic Management Corp accepts. To confirm in-network status with your specific health plan, contact Vandyke Medical Clinic Management Corp directly at (313) 893-2010.

Frequently asked

Yes. NPI 1174632087 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Health Service Clinic/Center is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (313) 893-2010.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Vandyke Medical Clinic Management Corp is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261QH0100X
Last updated
Enumerated
StatusActive
Partneri
partner offer
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