UPPER GREAT LAKES FAMILY HEALTH CENTER NPI 1114354479

NPI Information

NPI: 1114354479
Provider Name: UPPER GREAT LAKES FAMILY HEALTH CENTER

Doing Business As: CALUMET FAMILY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
56720 CALUMET AVE
CALUMET, MI
ZIP 49913
Phone: (906) 483-1177
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UPPER GREAT LAKES FAMILY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Calumet, MI. UPPER GREAT LAKES FAMILY HEALTH CENTER NPI is 1114354479. The provider is registered as an organization entity type.
The provider Is Doing Business As Calumet Family Health Center.

The provider's business location address is:

56720 CALUMET AVE
CALUMET, MI
ZIP 49913-967
Phone: (906) 483-1177
Fax: (906) 483-1188

The provider's authorized official is Donald A Simila .
The authorized official title is Ceo and has the following contact phone number (906) 483-1325.

The enumeration date for this NPI number is 10/2/2013 and was last updated on 4/14/2021.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		MICHIGAN	Yes

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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