UPPER GREAT LAKES FAMILY HEALTH CENTER NPI 1164893491

NPI Information

NPI: 1164893491
Provider Name: UPPER GREAT LAKES FAMILY HEALTH CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
301 EXPLORER ST
GWINN, MI
ZIP 49841
Phone: (906) 346-4924
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UPPER GREAT LAKES FAMILY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Gwinn, MI. UPPER GREAT LAKES FAMILY HEALTH CENTER NPI is 1164893491. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

301 EXPLORER ST
GWINN, MI
ZIP 49841-813
Phone: (906) 346-4924
Fax: (906) 346-6474

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 enumeration date for this NPI number is 10/13/2015 and was last updated on 4/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice			No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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