CHIPPEWA COUNTY HEALTH DEPARTMENT NPI 1689796930

NPI Information

NPI: 1689796930
Provider Name: CHIPPEWA COUNTY HEALTH DEPARTMENT

Other Name: SAULT HIGH ADOLESCENT CARE CENTER (SHACC)

Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
904 MARQUETTE AVE
ROOM 622
SAULT SAINTE MARIE, MI
ZIP 49783
Phone: (906) 632-5690
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CHIPPEWA COUNTY HEALTH DEPARTMENT is a student health clinic center in Sault Sainte Marie, MI. CHIPPEWA COUNTY HEALTH DEPARTMENT NPI is 1689796930. The provider is registered as an organization entity type.
The provider Other Name Is Sault High Adolescent Care Center (shacc).

The provider's business location address is:

904 MARQUETTE AVE
ROOM 622
SAULT SAINTE MARIE, MI
ZIP 49783-301
Phone: (906) 632-5690
Fax: (906) 635-1325

The provider's authorized official is Karen Marie Senkus .
The authorized official title is Health Officer and has the following contact phone number (906) 253-3103.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 2/26/2021.

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	261QD0000X	Clinic/Center	Dental			No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	6301008585	MICHIGAN	No
3	261QP2300X	Clinic/Center	Primary Care	4301030101	MICHIGAN	No
4	261QS1000X	Clinic/Center	Student Health	4301030101	MICHIGAN	Yes

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
1	4905013	MEDICAID	MICHIGAN
2	4904992	MEDICAID	MICHIGAN
3	680A710440	OTHER	MICHIGAN	BCBS-MENTAL HEALTH
4	4904983	MEDICAID	MICHIGAN
5	500A710530	OTHER	MICHIGAN	BCBS-NP GROUP
6	4905004	MEDICAID	MICHIGAN

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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