ALCONA CITIZENS FOR HEALTH, INC (NPI# 1518459585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518459585 |
| Entity Type | Organization |
| Organization Name | ALCONA CITIZENS FOR HEALTH, INC |
| Other Organization Name | FAMILY CARE PSYCHIATRY |
| Practice Address |
5340 Plymouth Rd Ste 202 Ann Arbor MI 48105-9341 |
| Mailing Address |
Po Box 655 Alpena MI 49707-0655 |
| Practice Telephone | 7342062888 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |
| Authorized Official Name | NANCY SPENCER (CEO) |
| Authorized Official Telephone | 9893580673 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALCONA CITIZENS FOR HEALTH INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Family Care Psychiatry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174064869 | Alcona Citizens for Health, Inc | Clinic/Center | 421 Stimpson Dr, Unit 102, Pellston, MI 49769-8800 | 2017-03-14 |
| 1932650686 | Alcona Citizens for Health, Inc | Social Worker | 650 E 5th St, Gaylord, MI 49735-1268 | 2016-10-18 |
| 1295195196 | Alcona Citizens for Health, Inc | Counselor | 700 Pinecrest St, Alpena, MI 49707-1336 | 2016-03-04 |
| 1144688342 | Alcona Citizens for Health, Inc | Social Worker | 3303 S Third Ave, Alpena, MI 49707-3307 | 2016-02-02 |
| 1669857926 | Alcona Citizens for Health, Inc | Family Medicine | 416 N M-129, Pickford, MI 49774 | 2015-07-28 |
| 1851770762 | Alcona Citizens for Health, Inc | Clinic/Center | 740 S Main St Fl 2, Cheboygan, MI 49721-2220 | 2015-05-26 |
| 1760888002 | Alcona Citizens for Health, Inc | Social Worker | 4999 Herron Rd, Herron, MI 49744-9600 | 2014-11-14 |
| 1063759686 | Alcona Citizens for Health, Inc | Social Worker | 3500 S Third Ave, Alpena, MI 49707-4105 | 2013-01-16 |
| 1790022317 | Alcona Citizens for Health, Inc | Social Worker | 201 N Ripley Blvd, Alpena, MI 49707-3403 | 2013-01-16 |
| 1477821825 | Alcona Citizens for Health, Inc | Social Worker | 51 N Barlow Rd, Harrisville, MI 48740-9606 | 2011-12-13 |
| Street Address |
5340 PLYMOUTH RD STE 202 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-9341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982114229 | Family Care Psychiatry | Clinic/Center | 5340 Plymouth Rd Ste 202, Ann Arbor, MI 48105-9341 | 2017-09-30 |
| 1134617731 | Rachel Sienko | Psychologist | 5340 Plymouth Rd Ste 202, Ann Arbor, MI 48105-9341 | 2018-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1841687589 | Packard Health, Inc. | Clinic/Center | 501 N Maple Rd, Ann Arbor, MI 48103-2827 | 2015-04-21 |
| 1922491760 | Packard Health, Inc. | Clinic/Center | 3174 Packard St, Ann Arbor, MI 48108-1947 | 2015-03-17 |
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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.