ALCONA CITIZENS FOR HEALTH, INC. (NPI# 1023516184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023516184 |
| Entity Type | Organization |
| Organization Name | ALCONA CITIZENS FOR HEALTH, INC. |
| Other Organization Name | ALCONA HEALTH CENTER ADVANCED PSYCHIATRIC SERVICES |
| Practice Address |
32905 W 12 Mile Rd Ste 410 Farmington Hills MI 48334-3346 |
| Mailing Address |
Po Box 655 Alpena MI 49707-0655 |
| Practice Telephone | 9897368157 |
| Mailing Telephone | 9897369815 |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |
| Authorized Official Name | CHRISTINE BAUMGARDNER (CEO) |
| Authorized Official Telephone | 9893580673 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | Y |
| Parent Organization Name | ALCONA CITIZENS FOR HEALTH, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Alcona Health Center Advanced Psychiatric Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972152569 | Alcona Citizens for Health, Inc. | Social Worker | 375 Wilson St Rm 12a, Alpena, MI 49707-1423 | 2019-09-06 |
| 1568010288 | Alcona Citizens for Health, Inc. | Social Worker | 7667 Us Highway 23 N Rm 111, Alpena, MI 49707-7905 | 2019-08-27 |
| 1962050690 | Alcona Citizens for Health, Inc. | Social Worker | 12170 Us Highway 23 S Rm 205b, Ossineke, MI 49766-9776 | 2019-08-27 |
| 1215438015 | Alcona Citizens for Health, Inc. | Clinic/Center | 740 S Main St Ste 3a, Cheboygan, MI 49721-2220 | 2018-02-27 |
| 1245731405 | Alcona Citizens for Health, Inc. | Clinic/Center | 3036 French Rd, Alpena, MI 49707 | 2018-02-23 |
| 1235630492 | Alcona Citizens for Health, Inc. | Psychiatry & Neurology | 20010 Farmington Rd Rm 2, Livonia, MI 48152-1408 | 2018-02-23 |
| 1578073391 | Alcona Citizens for Health, Inc. | Social Worker | 3550 E River Rd, Oscoda, MI 48750-9025 | 2017-10-06 |
| 1407393549 | Alcona Citizens for Health, Inc. | Social Worker | 616 Connable Ave, Petoskey, MI 49770-2216 | 2017-01-27 |
| 1033660782 | Alcona Citizens for Health, Inc. | Social Worker | 912 N Ohio Ave, Gaylord, MI 49735-8310 | 2016-10-18 |
| 1093090292 | Alcona Citizens for Health, Inc. | Counselor | 309 W Lake St, Alpena, MI 49707-2216 | 2011-10-19 |
| Street Address |
32905 W 12 MILE RD STE 410 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48334-3346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134528433 | Mohamad Hassoun | Counselor | 32905 W 12 Mile Rd Ste 410, Farmington Hills, MI 48334-3346 | 2014-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| 1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
| 1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
| 1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
| 1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
| Find all providers in zip 48334 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.