PRIMARY HEALTH SERVICES PC NPI 1578676441

NPI Information

  • NPI: 1578676441
  • Provider Name: PRIMARY HEALTH SERVICES PC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Address: 505 W LUDINGTON AVE
    LUDINGTON, MI
    ZIP 49431
  • Phone: (231) 843-8452

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NPI Details

PRIMARY HEALTH SERVICES PC is a rural health clinic center in Ludington, MI. PRIMARY HEALTH SERVICES PC NPI is 1578676441. The provider is registered as an organization entity type.

The provider's business location address is:

505 W LUDINGTON AVE
LUDINGTON, MI
ZIP 49431-029
Phone: (231) 843-8452

The provider's authorized official is Bradley L Bliss .
The authorized official title is Physician Assistant and has the following contact phone number (231) 843-8452.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 9/6/2017.

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
1261QR1300XClinic/CenterRural HealthYes

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
1104694643MEDICAIDMICHIGAN
2233954MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMEDICARE RURAL HEALTH CLI
3010E310070OTHERMICHIGANBCBS GROUP NUMBER
4E19836MEDICARE UPINMICHIGAN

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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