Provider Demographics
NPI:1033220157
Name:CAREFIRST COMMUNITY HEALTH SERVICES
Entity Type:Organization
Organization Name:CAREFIRST COMMUNITY HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARLOW-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:313-846-5020
Mailing Address - Street 1:8097 DECATUR ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48228-2721
Mailing Address - Country:US
Mailing Address - Phone:313-846-5020
Mailing Address - Fax:313-846-3468
Practice Address - Street 1:8097 DECATUR ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48228-2721
Practice Address - Country:US
Practice Address - Phone:313-846-5020
Practice Address - Fax:313-846-3468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No251B00000XAgenciesCase Management