Vandyke Medical Clinic Management Corp
NPI 1174632087 · Health Service Clinic/Center · Detroit, MI
Vandyke Medical Clinic Management Corp is a Health Service Clinic/Center organization in Detroit, MI (NPI 1174632087).
Provider details
- NPI number
- 1174632087
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ernest Mullen, President(313) 893-2010
- License
- 4301081357 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2015-12-01
Frequently asked questions
- What is Vandyke Medical Clinic Management Corp's NPI number?
- Vandyke Medical Clinic Management Corp's National Provider Identifier (NPI) is 1174632087, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vandyke Medical Clinic Management Corp?
- Vandyke Medical Clinic Management Corp is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Vandyke Medical Clinic Management Corp located?
- Vandyke Medical Clinic Management Corp's practice location on file with NPPES is 19431 Van Dyke St, Detroit, MI 48234-3323.
- What is Vandyke Medical Clinic Management Corp's phone number?
- The practice phone number listed in the NPPES registry for Vandyke Medical Clinic Management Corp is (313) 893-2010.
- Who is the authorized official for Vandyke Medical Clinic Management Corp?
- The authorized official listed on Vandyke Medical Clinic Management Corp's NPPES record is Ernest Mullen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vandyke Medical Clinic Management Corp's NPI active?
- Yes — Vandyke Medical Clinic Management Corp's NPI (1174632087) is active in the NPPES registry as of the last update on 2015-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.