UPPER GREAT LAKES FAMILY HEALTH CENTER NPI 1659792026

NPI Information

NPI: 1659792026
Provider Name: UPPER GREAT LAKES FAMILY HEALTH CENTER

Doing Business As: HANCOCK FAMILY HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
500 CAMPUS DR STE 2&3&5
HANCOCK, MI
ZIP 49930
Phone: (906) 483-1060
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UPPER GREAT LAKES FAMILY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Hancock, MI. UPPER GREAT LAKES FAMILY HEALTH CENTER NPI is 1659792026. The provider is registered as an organization entity type.
The provider Is Doing Business As Hancock Family Health Center.

The provider's business location address is:

500 CAMPUS DR STE 2&3&5
HANCOCK, MI
ZIP 49930-452
Phone: (906) 483-1060
Fax: (906) 483-1270

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 1/2/2014 and was last updated on 1/11/2024.

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)			No
2	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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