NORTHWEST MICHIGAN HEALTH SERVICES, INC. (NPI# 1124480108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124480108 |
| Entity Type | Organization |
| Organization Name | NORTHWEST MICHIGAN HEALTH SERVICES, INC. |
| Practice Address |
6433 8 Mile Rd Bear Lake MI 49614-9797 |
| Mailing Address |
10767 E Traverse Hwy Traverse City MI 49684-6219 |
| Practice Telephone | 2318897180 |
| Practice Fax Number | 2318897181 |
| Mailing Telephone | 2319471112 |
| Mailing Fax Number | 2319477739 |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-29 |
| Authorized Official Name | HEIDI MAE BRITTON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2319471112 |
| Authorized Official Credential | MPH, CPHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400389 | Northwest Michigan Health Services, Inc. | Clinic/Center | 300 W Broadway Ave Trlr 1, Scottville, MI 49454-1019 | 2020-05-30 |
| 1326589961 | Northwest Michigan Health Services, Inc. | Clinic/Center | 2840 Orchard Hwy, Manistee, MI 49660-9752 | 2017-03-15 |
| 1922464254 | Northwest Michigan Health Services, Inc. | Clinic/Center | 6051 Frankfort Hwy, Benzonia, MI 49616-9558 | 2015-12-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHWEST MICHIGAN HEALTH SERVICES, INC. | 10767 E Traverse Hwy, Traverse City, MI 49684-6219 |
| Street Address |
6433 8 MILE RD |
| City | BEAR LAKE |
| State | MI |
| Zip Code | 49614-9797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902903396 | Karen R Schneider | Registered Nurse | 7861 Main St., Bear Lake, MI 49614 | 2006-09-20 |
| 1144212812 | Richmond Drug Inc | Pharmacy | 7717 Lake St, Bear Lake, MI 49614 | 2005-08-18 |
| 1801363494 | Maryann Marie Smith | Physician Assistant | 8225 Lake St, Bear Lake, MI 49614 | 2018-11-01 |
| 1427156512 | Jacqueline J Norton | Physician Assistant | 8225 Lake St, Bear Lake, MI 49614 | 2006-09-20 |
| 1316040645 | Ellen Marie Herring | Nurse Practitioner | 8225 Lake St, Bear Lake, MI 49614 | 2006-09-05 |
| 1780758391 | Norman Dale Olson | Family Medicine | 12521 Russell St, Bear Lake, MI 49614-0098 | 2006-11-17 |
| 1891887816 | Bearlake United Methodist Church | Voluntary or Charitable | 7861 Main St., Bearlake, MI 49614-0157 | 2006-09-28 |
| 1265588685 | Craig Phillip Harless | Dentist | 7659 Lake St, Bear Lake, MI 49614-9238 | 2007-01-26 |
| 1932199965 | Glenn Charles Griffiths | Family Medicine | 8225 Lake St, Bear Lake, MI 49614-9612 | 2005-10-21 |
| 1902851777 | Crystal Lake Clinic, P.C. | Family Medicine | 8225 Lake St, Bear Lake, MI 49614-9688 | 2006-05-23 |
| Find all providers in zip 49614 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1427658244 | Hackley Community Care Center Inc | Clinic/Center | 3113 Pontaluna Rd Ste A, Fruitport, MI 49415-9600 | 2020-10-30 |
| 1760080972 | Hackley Community Care Center Inc | Clinic/Center | 1420 Madison St Ste A, Muskegon, MI 49442-5251 | 2020-10-12 |
| 1831706993 | Family Medical Center of Michigan, Inc | Clinic/Center | 503 Washington St Rm 150, Monroe, MI 48161-1309 | 2020-09-23 |
| 1326654666 | Family Medical Center of Michigan,inc | Clinic/Center | 550 E Main St Ste 1001, Hudson, MI 49247-9535 | 2020-09-22 |
| 1922613975 | Hackley Community Care Center Inc | Clinic/Center | 6245 Syers Rd Ste A, Holton, MI 49425-7557 | 2020-09-15 |
| 1700400389 | Northwest Michigan Health Services, Inc. | Clinic/Center | 300 W Broadway Ave Trlr 1, Scottville, MI 49454-1019 | 2020-05-30 |
| 1679195721 | Family Medical Center of Michigan,inc | Clinic/Center | 2740 Collingwood St Ste 100, Detroit, MI 48206-1473 | 2020-05-12 |
| 1235750571 | Great Lakes Bay Health Centers | Clinic/Center | 2300 Veterans Memorial Pkwy, Saginaw, MI 48601-1268 | 2020-04-28 |
| 1053948265 | Upper Great Lakes Family Health Center | Clinic/Center | 1414 W Fair Ave Ste 242, Marquette, MI 49855-5406 | 2020-03-26 |
| 1568096923 | Grace Health, Inc. | Clinic/Center | 825 Capital Ave Ne, Battle Creek, MI 49017-5605 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
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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.