UPPER GREAT LAKES FAMILY HEALTH CENTER


Address: 1550 W Quincy St, Hancock, MI 49930-1223
Phone: 9064823621

UPPER GREAT LAKES FAMILY HEALTH CENTER (NPI# 1205217239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205217239
Entity Type Organization
Organization Name UPPER GREAT LAKES FAMILY HEALTH CENTER
Practice Address 1550 W Quincy St
Hancock
MI 49930-1223
Practice Telephone 9064823621
Practice Fax Number 9064823676
Mailing Telephone 9064823621
Mailing Fax Number 9064823676
Enumeration Date 2015-06-16
Last Update Date 2015-06-16
Authorized Official Name DONALD A SIMILA (CEO)
Authorized Official Telephone 9064831325
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1053948265 Upper Great Lakes Family Health Center Clinic/Center 1414 W Fair Ave Ste 242, Marquette, MI 49855-5406 2020-03-26
1659889673 Upper Great Lakes Family Health Center Psychiatry & Neurology 965 Fee Rd Rm A229, East Lansing, MI 48824-6410 2018-01-11
1336563832 Upper Great Lakes Family Health Center Clinic/Center 751 S 7th Street, Ontonagon, MI 49953-1450 2014-02-05
1508289273 Upper Great Lakes Family Health Center Clinic/Center 1500 W Ice Lake Road, Iron River, MI 49935-8509 2014-01-30
1740603885 Upper Great Lakes Family Health Center Clinic/Center 945 Ninth Street, Lake Linden, MI 49945-1100 2014-01-25
1811325103 Upper Great Lakes Family Health Center Clinic/Center 600 Macinnes Drive, Houghton, MI 49931-1144 2013-10-23
1700103777 Upper Great Lakes Family Health Center Family Medicine 301 Explorer Street, Gwinn, MI 49841-2813 2010-04-29
1104158690 Upper Great Lakes Family Health Center Family Medicine 135 East M 35, Gwinn, MI 49841-9159 2010-02-08
1396295721 Upper Great Lakes Family Health Center Dentist 56720 Calumet Ave, Calumet, MI 49913-1967 2016-10-10
1164893491 Upper Great Lakes Family Health Center Dentist 301 Explorer St, Gwinn, MI 49841-2813 2015-10-13

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities UPPER GREAT LAKES FAMILY HEALTH CENTER 506 Campus Dr, Hancock, MI 49930-1569

Office Location

Street Address 1550 W QUINCY ST
City HANCOCK
State MI
Zip Code 49930-1223

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982710802 Ronald Joseph Fisher Dentist 1550 W Quincy St, Hancock, MI 49930-1223 2006-08-22
1831698539 Amy Chard Dental Hygienist 1550 W Quincy St, Hancock, MI 49930-1223 2018-02-08
1386143089 Amy Datto Dental Hygienist 1550 W Quincy St, Hancock, MI 49930-1223 2018-02-08
1346749041 Sarah Maki Dental Assistant 1550 W Quincy St, Hancock, MI 49930-1223 2018-02-08
1669971362 Ann Lepisto Dental Hygienist 1550 W Quincy St, Hancock, MI 49930-1223 2018-02-08
1730688433 Megan Bugweg Dental Hygienist 1550 W Quincy St, Hancock, MI 49930-1223 2018-02-08
1538668231 Shari Billeck Dental Assistant 1550 W Quincy St, Hancock, MI 49930-1223 2018-02-08
1932652005 Justin Slis Dentist 1550 W Quincy St, Hancock, MI 49930-1223 2016-07-25
1568790293 Sarah Mettlach Dentist 1550 W Quincy St, Hancock, MI 49930-1223 2009-11-18
1255458758 Anthony Charles Sarazin Dentist 1550 W Quincy St, Hancock, MI 49930-1223 2007-03-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437627643 Karen Byrnes Registered Nurse Hancock Va Cboc, 787 Market St. Suite 9, Hancock, MI 49930 2018-11-06
1881117562 Angelica Monique Nunez Specialist/Technologist 601 Quincy St, Hancock, MI 49930 2017-07-25
1831581164 Superior Prosthetics and Orthotics Prosthetic/Orthotic Supplier 20075 Third Street, Hancock, MI 49930 2015-02-24
1861703258 Superior Smiles Dentist 1550 West Quincy St, Hancock, MI 49930 2010-06-30
1164633780 Kathryn Mary Salmi Counselor 100 Quincy Street, Hancock, MI 49930 2007-05-25
1093828535 Mary Katherine Van Camp Social Worker 787 Market St., Suites 9 & 10, Hancock, MI 49930 2006-08-17
1083627392 Kim Kathleen Green Social Worker 787 Market Street, Hancock, MI 49930 2006-08-15
1346257672 James William Sarazin Dentist 528 Quincy Street, Hancock, MI 49930 2006-08-01
1114951829 Patricia J Tikkanen Social Worker 200 Michigan St Ste 321, Hancock, MI 49930 2006-07-10
1487639829 Thomas Collins Social Worker 920 Water Street, Hancock, MI 49930 2005-12-08
Find all providers in zip 49930

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861703258 Superior Smiles Dentist 1550 West Quincy St, Hancock, MI 49930 2010-06-30
1457479214 Dennis Destefano Dentist 24651 State Hwy 97, Hancock, NY 13783-2233 2007-03-27
1053462473 Leonard William Beesley Dentist 1111 Hecla St, Hancock, MI 49930-1035 2007-01-13
1306931720 Timothy Jon Carlson Dentist 657 Atlantic Ave, Hancock Dental Clilnic, P.a, Hancock, MN 56244 2006-10-03
1982710802 Ronald Joseph Fisher Dentist 1550 W Quincy St, Hancock, MI 49930-1223 2006-08-22
1427164680 Robert D Richards Dds PC Dentist 896 Campus Drive, Hancock, MI 49930-1571 2006-08-21
1346257672 James William Sarazin Dentist 528 Quincy Street, Hancock, MI 49930 2006-08-01
1932652005 Justin Slis Dentist 1550 W Quincy St, Hancock, MI 49930-1223 2016-07-25
1144435421 Robert Donold Richards Dentist 896 Campus Drive, Hancock, MI 49931-1571 2007-05-11
1356467203 Robert Nominelli Dentist 1550 W Quincy St, Hancock, MI 49930-1223 2007-03-22
Find all providers in HANCOCK

Competitor

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City HANCOCK
Zip Code 49930

Improve Information

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Dataset Information

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.

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