HERITAGE HEALTH PC NPI 1194329961

NPI Information

NPI: 1194329961
Provider Name: HERITAGE HEALTH, PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 23D2206420

Address:
1007 HARBOR HILLS DR STE B
MARQUETTE, MI
ZIP 49855
Phone: (616) 260-0086
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HERITAGE HEALTH, PC is a primary care clinic center in Marquette, MI. HERITAGE HEALTH, PC NPI is 1194329961. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1007 HARBOR HILLS DR STE B
MARQUETTE, MI
ZIP 49855-977
Phone: (616) 260-0086

The provider's authorized official is Shawna Gleason .
The authorized official title is Owner/physician and has the following contact phone number (906) 262-0400.

The CLIA number assigned to this NPI record is 23D2206420 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/23/2020 and was last updated on 1/4/2021.

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	207R00000X	Internal Medicine				No
2	261QP2300X	Clinic/Center	Primary Care			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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