Provider Type Icon

NORTHWESTERN MICHIGAN COLLEGE NPI 1700033859


NPI Information

NPI: 1700033859
Provider Name: NORTHWESTERN MICHIGAN COLLEGE

Doing Business As: NORTHWESTERN MICHIGAN COLLEGE STUDENT HEALTH SERVICES

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

Specialization: Student Health

CLIA Number: 23D0907085

Address:
1701 E FRONT ST
L.B. 106
TRAVERSE CITY, MI
ZIP 49686
Phone: (231) 995-1255
Get Directions

NORTHWESTERN MICHIGAN COLLEGE is a student health clinic center in Traverse City, MI. NORTHWESTERN MICHIGAN COLLEGE NPI is 1700033859. The provider is registered as an organization entity type.
The provider Is Doing Business As Northwestern Michigan College Student Health Services.

The provider's business location address is:

1701 E FRONT ST
L.B. 106
TRAVERSE CITY, MI
ZIP 49686-016
Phone: (231) 995-1255
Fax: (231) 995-1923

The provider's authorized official is Renee Rose Jacobson .
The authorized official title is Director Of Health Services and has the following contact phone number (231) 995-1256.

The CLIA number assigned to this NPI record is 23D0907085 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/20/2008 and was last updated on 8/20/2008.


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
1261QS1000XClinic/CenterStudent Health4704147470MICHIGANYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.