Provider Demographics
NPI:1427271881
Name:METRO HEALTH CENTERS, P.L.L.C.
Entity type:Organization
Organization Name:METRO HEALTH CENTERS, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REPRESENTATIVE
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ZELCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-759-1100
Mailing Address - Street 1:25429 VAN DYKE AVE
Mailing Address - Street 2:
Mailing Address - City:CENTER LINE
Mailing Address - State:MI
Mailing Address - Zip Code:48015-1825
Mailing Address - Country:US
Mailing Address - Phone:586-759-1100
Mailing Address - Fax:586-759-2721
Practice Address - Street 1:25429 VAN DYKE AVE
Practice Address - Street 2:
Practice Address - City:CENTER LINE
Practice Address - State:MI
Practice Address - Zip Code:48015-1825
Practice Address - Country:US
Practice Address - Phone:586-759-1100
Practice Address - Fax:586-759-2721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MION66380Medicare ID - Type UnspecifiedMEDICARE GROUP #