UPPER GREAT LAKES FAMILY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Iron River, MI. UPPER GREAT LAKES FAMILY HEALTH CENTER NPI is 1508289273. The provider is registered as an organization entity type.
The provider Is Doing Business As Ice Lake Family Health Center.
The provider's business location address is:
1500 W ICE LAKE ROAD
IRON RIVER, MI
ZIP 49935-509
Phone: (906) 265-5378
Fax: (906) 265-4245
The provider's authorized official is Donald A Simila .
The authorized official title is Ceo and has the following contact phone number (906) 483-1325.
The CLIA number assigned to this NPI record is 23D2079175 - federally qualified health center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/30/2014 and was last updated on 4/14/2021.