ASPIRUS KEWEENAW NPI 1649320524

NPI Information

NPI: 1649320524
Provider Name: ASPIRUS KEWEENAW

Doing Business As: ASPIRUS KEWEENAW LAKE LINDEN CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
110 CALUMET STREET
LAKE LINDEN, MI
ZIP 49945
Phone: (906) 296-5040
Get Directions

ASPIRUS KEWEENAW is a rural health clinic center in Lake Linden, MI. ASPIRUS KEWEENAW NPI is 1649320524. The provider is registered as an organization entity type.
The provider Is Doing Business As Aspirus Keweenaw Lake Linden Clinic.

The provider's business location address is:

110 CALUMET STREET
LAKE LINDEN, MI
ZIP 49945-308
Phone: (906) 296-5040
Fax: (906) 296-1006

The provider's authorized official is Lori Peck .
The authorized official title is Vp Revenue Cycle and has the following contact phone number (715) 847-2988.

The CLIA number assigned to this NPI record is 23D0038123 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 5/4/2021.

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	261QR1300X	Clinic/Center	Rural Health			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	00108	OTHER	MICHIGAN	BLUE CROSS

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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