ASPIRUS KEWEENAW (NPI# 1508001629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508001629 |
| Entity Type | Organization |
| Organization Name | ASPIRUS KEWEENAW |
| Other Organization Name | ASPIRUS KEWEENAW FASTCARE |
| Practice Address |
900 Memorial Drive Houghton MI 49931 |
| Mailing Address |
205 Osceola Street Laurium MI 49913-2134 |
| Practice Telephone | 9064830679 |
| Practice Fax Number | 9064830686 |
| Mailing Telephone | 9063376560 |
| Mailing Fax Number | 9063376562 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2011-08-11 |
| Authorized Official Name | SHANE M JACQUES (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9063376500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Aspirus Keweenaw FastCare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205164555 | Aspirus Keweenaw | Physical Therapist | 1000 Cedar Street, Houghton, MI 49931-2801 | 2009-11-25 |
| 1649320524 | Aspirus Keweenaw | Clinic/Center | 110 Calumet Street, Lake Linden, MI 49945-1308 | 2007-01-11 |
| 1609811058 | Aspirus Keweenaw | Family Medicine | 301 West Lakeshore Drive, Houghton, MI 49931-2200 | 2006-06-19 |
| 1821497579 | Aspirus Keweenaw | Ophthalmology | 404 W Sharon Ave, Houghton, MI 49931-1980 | 2014-08-19 |
| 1790127454 | Aspirus Keweenaw | Orthopaedic Surgery | 205 Osceola St, Laurium, MI 49913-2134 | 2013-07-23 |
| 1831444744 | Aspirus Keweenaw | General Practice | 205 Osceola St, Laurium, MI 49913-2134 | 2012-07-17 |
| 1750654661 | Aspirus Keweenaw | Clinic/Center | 300 Hecla St, Laurium, MI 49913-2128 | 2012-02-23 |
| 1215092572 | Aspirus Keweenaw | Clinic/Center | 1000 Cedar St, Houghton, MI 49931-1978 | 2006-12-27 |
| 1205998713 | Aspirus Keweenaw | Clinic/Center | 205 Osceola Street, Laurium, MI 49913-2134 | 2006-12-14 |
| 1154480044 | Aspirus Keweenaw | Medicare Defined Swing Bed Unit | 205 Osceola Street, Laurium, MI 49913-2134 | 2006-12-06 |
| Street Address |
900 MEMORIAL DRIVE |
| City | HOUGHTON |
| State | MI |
| Zip Code | 49931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962053447 | Meghan Lawler Immel | Counselor | 47431 St. Hwy M26 Unit 1, Suite 2, Houghton, MI 49931 | 2019-09-25 |
| 1205495710 | Public Counseling Services, LLC | Counselor | 47431 Hwy M26 Unit 1, Suite 2, Houghton, MI 49931 | 2019-06-08 |
| 1679047278 | Margiejo D Packham | Registered Nurse | 109 W Memorial Dr, Hancock, MI 49931 | 2019-01-16 |
| 1487150165 | Taylor Lee Douglas | Optometrist | 900 W Mem Dr, Houghton, MI 49931 | 2018-04-02 |
| 1033640867 | Larry Binoniemi | Pharmacist | 995 Razoback Dr, Houghton, MI 49931 | 2017-03-23 |
| 1013247972 | Portage Health Inc | General Practice | 921 W Sharon Ave., Houghton, MI 49931 | 2009-12-28 |
| 1306027057 | Gary Kilpela | Psychologist | 301 West Lake Ave., Suite 2, Houghton, MI 49931 | 2007-11-23 |
| 1811186455 | Baraga-houghton-keweenaw Child Development Board | Public Health or Welfare | 700 Park Avenue, Houghton, MI 49931 | 2007-10-19 |
| 1922294107 | Diane Sue Johnson | Registered Nurse | 901 West Memorial Drive, Houghton, MI 49931 | 2007-09-20 |
| 1417080813 | Western Upper Peninsula Substance Abuse Services Coordinating Agency | Case Management | 902 West Sharon Ave., Houghton, MI 49931 | 2007-03-14 |
| Find all providers in zip 49931 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013247972 | Portage Health Inc | General Practice | 921 W Sharon Ave., Houghton, MI 49931 | 2009-12-28 |
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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.