FOREST AREA HEALTH CENTER PC (NPI# 1255503249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255503249 |
| Entity Type | Organization |
| Organization Name | FOREST AREA HEALTH CENTER PC |
| Practice Address |
113 Main St Fife Lake MI 49633-9062 |
| Mailing Address |
113 Main St Po Box 221 Fife Lake MI 49633-9062 |
| Practice Telephone | 2318794810 |
| Practice Fax Number | 2318794916 |
| Mailing Telephone | 2318794810 |
| Mailing Fax Number | 2318794916 |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-10-09 |
| Authorized Official Name | MR. THABIT M BAHHUR (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2318794810 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
4301046404 | MI | Ambulatory Health Care Facilities |
| Street Address |
113 MAIN ST |
| City | FIFE LAKE |
| State | MI |
| Zip Code | 49633-9062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326267006 | Fife Lake Area Ambulance Authority | Ambulance | 134 Morgan St, Fife Lake, MI 49633 | 2007-04-24 |
| 1639277791 | Forest Area Medical Centers PC | Physician Assistant | 113 Main Street, Fife Lake, MI 49633 | 2006-09-20 |
| 1083727473 | Richard Arden Knecht | Family Medicine | 125 Morgan Street, Fife Lake, MI 49633 | 2006-08-17 |
| 1316988272 | Berry Drugs Inc | Pharmacy | 108 State St, Fife Lake, MI 49633 | 2006-06-09 |
| 1326199126 | Forest Area Health Center, PC | Clinic/Center | 113 N. Main Street, Box 221, Fife Lake, MI 49633-0221 | 2007-01-16 |
| 1326648940 | Danielle Johne | Student in an Organized Health Care Education/Training Program | 1623 W Sharon Rd Sw, Fife Lake, MI 49633-7214 | 2020-11-01 |
| 1124447859 | Linda D Theis | Psychologist | 6035 Gonyer Rd Sw, Fife Lake, MI 49633-8214 | 2014-04-09 |
| 1750567871 | Thomas Joe Akalis | Psychologist | 8264 Military Rd Se, Fife Lake, MI 49633-8251 | 2008-01-18 |
| 1174815385 | Fife Lake Area Emergency Rescue Authority | Ambulance | 134 Morgan St, Fife Lake, MI 49633-9068 | 2011-05-05 |
| 1457899346 | Hannah Fisher | Behavior Technician | 12095 Mueller Rd Sw, Fife Lake, MI 49633-9087 | 2017-02-10 |
| Find all providers in zip 49633 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 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.