PORT HURON INTERNAL MEDICINE NPI 1437609781

NPI Information

  • NPI: 1437609781
  • Provider Name: PORT HURON INTERNAL MEDICINE
  • Classification: Clinical Nurse Specialist - 364SF0001X
  • Specialization: Family Health
  • Entity Type: Organization
  • CLIA Number: 23D1106569
  • Address: 2540 16TH ST
    PORT HURON, MI
    ZIP 48060
  • Phone: (586) 634-0055

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NPI Details

PORT HURON INTERNAL MEDICINE is a family health clinical nurse specialist in Port Huron, MI. PORT HURON INTERNAL MEDICINE NPI is 1437609781. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2540 16TH ST
PORT HURON, MI
ZIP 48060-405
Phone: (586) 634-0055

The provider's authorized official is John Jarad .
The authorized official title is Internal Medicine Physician and has the following contact phone number (810) 987-1000.

The CLIA number assigned to this NPI record is 23D1106569 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2016 and was last updated on 10/11/2016.

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
1364SF0001XClinical Nurse SpecialistFamily Health4704272224MICHIGANYes

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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