PRIME HEALTHCARE FOUNDATION, INC (NPI# 1285092767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285092767 |
| Entity Type | Organization |
| Organization Name | PRIME HEALTHCARE FOUNDATION, INC |
| Other Organization Name | PEOPLES' CLINIC FOR BETTER HEALTH |
| Practice Address |
3111 Electric Ave Port Huron MI 48060-8127 |
| Practice Telephone | 8109854747 |
| Practice Fax Number | 8109855579 |
| Mailing Telephone | 8109854747 |
| Mailing Fax Number | 8109855579 |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2020-05-11 |
| Authorized Official Name | CHANDRA GRUBER (DIRECTOR) |
| Authorized Official Telephone | 8102161675 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Peoples' Clinic for Better Health | Doing Business As Name - Organization |
| Street Address |
3111 ELECTRIC AVE |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-8127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497791313 | Genoa Healthcare, LLC | Pharmacy | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2006-06-20 |
| 1770184202 | Camilla Smith | Social Worker | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-11-02 |
| 1992312425 | Ashley Renock | Social Worker | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-09-29 |
| 1720695240 | Danielle Marie Mitchell | Social Worker | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-09-29 |
| 1417565995 | Keith R Gilbert | Peer Specialist | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-07-21 |
| 1710504998 | Caitlin Griswold | Peer Specialist | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-07-03 |
| 1508482951 | Elisa Dooley | Registered Nurse | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-06-22 |
| 1811513690 | Skye L Paling | Case Manager/Care Coordinator | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-06-17 |
| 1457976102 | Kathryn Shaw | Technician, Pathology | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-06-09 |
| 1518593003 | Joy Daggett | Case Manager/Care Coordinator | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295183747 | David Sabbagh | Family Medicine | 1209 10th St Ste D, Port Huron, MI 48060-5262 | 2016-05-25 |
| 1386668689 | George J Carley Jr. | Family Medicine | 1943 Holland Ave, Port Huron, MI 48060-1519 | 2006-07-27 |
| 1194757864 | Alexander Grant Ruthven II | Family Medicine | 1225 10th St, Huron Family Practice Center, Port Huron, MI 48060-5205 | 2006-07-06 |
| 1689641557 | Michele L Raymond | Family Medicine | 2425 Military St, Building 2, Port Huron, MI 48060-6692 | 2006-03-01 |
| 1235113382 | Aaron Kenneth Clark | Family Medicine | 1217 Kearney St, Suite 1, Port Huron, MI 48060-3534 | 2005-12-02 |
| 1033105630 | John Patrick Mullally | Family Medicine | 1117 Stone St, Suite 2, Port Huron, MI 48060 | 2005-09-20 |
| 1619978780 | Ira M Sabbagh | Family Medicine | 1209 10th St, Suite E, Port Huron, MI 48060-5262 | 2005-08-10 |
| 1619355930 | Mclaren Port Huron | Family Medicine | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2015-05-07 |
| 1326326836 | Joshua Charles Giordano | Family Medicine | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 | 2011-08-01 |
| 1699084889 | J Mullally Md Pllc | Family Medicine | 1117 Stone St, Suite 2, Port Huron, MI 48060-3525 | 2010-10-05 |
| Find all providers in PORT HURON | ||||
| City | PORT HURON |
| Zip Code | 48060 |
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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.