Provider Type Icon

MANISTEE BENZIE COMMUNITY MENTAL HEALTH NPI 1366806432


NPI Information

NPI: 1366806432
Provider Name: MANISTEE BENZIE COMMUNITY MENTAL HEALTH

Doing Business As: CENTRA WELLNESS NETWORK

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 23D2262567

Address:
310 GLOCHESKI DR
MANISTEE, MI
ZIP 49660
Phone: (877) 398-2013
Get Directions

MANISTEE BENZIE COMMUNITY MENTAL HEALTH is a primary care clinic center in Manistee, MI. MANISTEE BENZIE COMMUNITY MENTAL HEALTH NPI is 1366806432. The provider is registered as an organization entity type.
The provider Is Doing Business As Centra Wellness Network.

The provider's business location address is:

310 GLOCHESKI DR
MANISTEE, MI
ZIP 49660-639
Phone: (877) 398-2013
Fax: (231) 723-1504

The provider's authorized official is Donna J Nieman .
The authorized official title is Chief Finance Officer and has the following contact phone number (877) 398-2013.

The CLIA number assigned to this NPI record is 23D2262567 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/5/2016 and was last updated on 7/6/2023.


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
1261QP2300XClinic/CenterPrimary CareYes

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.