Detroit Wayne County Health Authority
NPI 1962733089 · Primary Care Clinic/Center · Detroit, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Detroit Wayne County Health Authority is a Primary Care Clinic/Center organization in Detroit, MI (NPI 1962733089).
Provider details
- NPI number
- 1962733089
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Loretta Bush, Ceo(313) 871-3751
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
Agencies
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Clinic Pharmacy3336C0002X
Suppliers
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
Additional practice locations (3)
- 12121 Broadstreet AveDetroit, MI 48204-1550Phone: (313) 824-1000Fax: (313) 931-8656
- 23077 Greenfield RdSouthfield, MI 48075-3709Phone: (313) 824-1000Fax: (248) 569-9151
- 27777 Lahser Rd Ste 200Southfield, MI 48034-4751Phone: (313) 824-1000Fax: (248) 945-3498
Registry dates
- Enumerated
- 2010-01-29
- Last updated
- 2026-05-19
- Certified
- 2026-05-19
Frequently asked questions
- What is Detroit Wayne County Health Authority's NPI number?
- Detroit Wayne County Health Authority's National Provider Identifier (NPI) is 1962733089, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Detroit Wayne County Health Authority?
- Detroit Wayne County Health Authority is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Detroit Wayne County Health Authority located?
- Detroit Wayne County Health Authority's practice location on file with NPPES is 10809 Mack Ave, Detroit, MI 48214-2119.
- What is Detroit Wayne County Health Authority's phone number?
- The practice phone number listed in the NPPES registry for Detroit Wayne County Health Authority is (313) 824-1000.
- Does Detroit Wayne County Health Authority accept Medicare?
- Detroit Wayne County Health Authority is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Detroit Wayne County Health Authority?
- The authorized official listed on Detroit Wayne County Health Authority's NPPES record is Loretta Bush, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Detroit Wayne County Health Authority's NPI active?
- Yes — Detroit Wayne County Health Authority's NPI (1962733089) is active in the NPPES registry as of the last update on 2026-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.