Provider Demographics
NPI:1376923409
Name:CONCERTO HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:CONCERTO HEALTHCARE SERVICES, INC.
Other - Org Name:FSC OF MICHIGAN SERVICES, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:RITA
Authorized Official - Last Name:BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:949-398-8413
Mailing Address - Street 1:25373 VAN DYKE AVE
Mailing Address - Street 2:
Mailing Address - City:CENTERLINE
Mailing Address - State:MI
Mailing Address - Zip Code:48015-1425
Mailing Address - Country:US
Mailing Address - Phone:313-748-4200
Mailing Address - Fax:
Practice Address - Street 1:25373 VAN DYKE AVE
Practice Address - Street 2:
Practice Address - City:CENTERLINE
Practice Address - State:MI
Practice Address - Zip Code:48015-1425
Practice Address - Country:US
Practice Address - Phone:313-748-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONCERTO HEALTHCARE OF MICHIGAN, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-03
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care