OrganizationActive
Detroit Wayne County Health Authority
NPI 1962733089 · Primary Care Clinic/Center · Detroit, MI
Provider details
- NPI number
- 1962733089
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Loretta Bush, Ceo
Practice location
10809 Mack Ave
Detroit, MI 48214-2119
Phone: (313) 824-1000
Fax: (313) 824-9000
Mailing address
3031 W Grand Blvd
Detroit, MI 48202-3046
Registry dates
- Enumerated
- 2010-01-29
- Last updated
- 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.