NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY NPI 1932116191

NPI Information

NPI: 1932116191
Provider Name: NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY

Doing Business As: HEALTH DEPARTMENT OF NORTHWEST MICHIGAN

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 23D2027697

Address:
220 W GARFIELD AVE
CHARLEVOIX, MI
ZIP 49720
Phone: (231) 547-6523
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NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY is a public health or welfare in Charlevoix, MI. NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY NPI is 1932116191. The provider is registered as an organization entity type.
The provider Is Doing Business As Health Department Of Northwest Michigan.

The provider's business location address is:

220 W GARFIELD AVE
CHARLEVOIX, MI
ZIP 49720-631
Phone: (231) 547-6523
Fax: (231) 547-6238

The provider's authorized official is Lisa Marie Peacock .
The authorized official title is Health Officer and has the following contact phone number (231) 547-6523.

The CLIA number assigned to this NPI record is 23D2027697 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 9/28/2020.

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 State	Primary
1	261QF0050X	Clinic/Center	Family Planning, Non-Surgical		No
2	291U00000X	Clinical Medical Laboratory			No
3	251K00000X	Public Health or Welfare		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	4443643	MEDICAID	MICHIGAN
2	500A510100	OTHER	MICHIGAN	BCBSM

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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