ELK RAPIDS PRIMARY CARE PLC NPI 1174672968

NPI Information

  • NPI: 1174672968
  • Provider Name: ELK RAPIDS PRIMARY CARE PLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 23D0933256
  • Address: 115 BRIDGE STREET
    ELK RAPIDS, MI
    ZIP 49629
  • Phone: (231) 264-0399

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NPI Details

ELK RAPIDS PRIMARY CARE PLC is a family medicine in Elk Rapids, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ELK RAPIDS PRIMARY CARE PLC NPI is 1174672968. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

115 BRIDGE STREET
ELK RAPIDS, MI
ZIP 49629-110
Phone: (231) 264-0399
Fax: (231) 264-0212

The provider's authorized official is Steven M Pray .
The authorized official title is Sole Proprietor and has the following contact phone number (231) 264-0399.

The CLIA number assigned to this NPI record is 23D0933256 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/9/2007 and was last updated on 11/28/2011.

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
1207Q00000XFamily MedicineSP014958MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00890002MEDICARE PINMICHIGAN
2P00890001MEDICARE PINMICHIGAN

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: 11/21/2025

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