ALCONA CITIZENS FOR HEALTH, INC. (NPI# 1609099738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609099738 |
| Entity Type | Organization |
| Organization Name | ALCONA CITIZENS FOR HEALTH, INC. |
| Other Organization Name | ALCONA HEALTH CENTER-OSSINEKE SERVICES |
| Practice Address |
11745 Us Highway 23 S Ossineke MI 49766-9582 |
| Mailing Address |
11745 Us Highway 23 S P.o. Box 83 Ossineke MI 49766-9582 |
| Practice Telephone | 9894712156 |
| Practice Fax Number | 9893583750 |
| Mailing Telephone | 9894712156 |
| Mailing Fax Number | 9893583750 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2019-05-21 |
| Authorized Official Name | NANCY SPENCER (CEO) |
| Authorized Official Telephone | 9893580673 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Alcona Health Center-Ossineke Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972152569 | Alcona Citizens for Health, Inc. | Social Worker | 375 Wilson St Rm 12a, Alpena, MI 49707-1423 | 2019-09-06 |
| 1568010288 | Alcona Citizens for Health, Inc. | Social Worker | 7667 Us Highway 23 N Rm 111, Alpena, MI 49707-7905 | 2019-08-27 |
| 1962050690 | Alcona Citizens for Health, Inc. | Social Worker | 12170 Us Highway 23 S Rm 205b, Ossineke, MI 49766-9776 | 2019-08-27 |
| 1215438015 | Alcona Citizens for Health, Inc. | Clinic/Center | 740 S Main St Ste 3a, Cheboygan, MI 49721-2220 | 2018-02-27 |
| 1245731405 | Alcona Citizens for Health, Inc. | Clinic/Center | 3036 French Rd, Alpena, MI 49707 | 2018-02-23 |
| 1235630492 | Alcona Citizens for Health, Inc. | Psychiatry & Neurology | 20010 Farmington Rd Rm 2, Livonia, MI 48152-1408 | 2018-02-23 |
| 1578073391 | Alcona Citizens for Health, Inc. | Social Worker | 3550 E River Rd, Oscoda, MI 48750-9025 | 2017-10-06 |
| 1407393549 | Alcona Citizens for Health, Inc. | Social Worker | 616 Connable Ave, Petoskey, MI 49770-2216 | 2017-01-27 |
| 1033660782 | Alcona Citizens for Health, Inc. | Social Worker | 912 N Ohio Ave, Gaylord, MI 49735-8310 | 2016-10-18 |
| 1093090292 | Alcona Citizens for Health, Inc. | Counselor | 309 W Lake St, Alpena, MI 49707-2216 | 2011-10-19 |
| Street Address |
11745 US HIGHWAY 23 S |
| City | OSSINEKE |
| State | MI |
| Zip Code | 49766-9582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033102132 | Manuel Chavarri | Internal Medicine | 11745 Us Highway 23 S, Ossineke, MI 49766-9582 | 2005-08-24 |
| 1144526252 | Raj Rao | General Practice | 11745 Us Highway 23 S, Ossineke, MI 49766-9582 | 2011-02-07 |
| 1568795177 | Carrie Ann Standen | Nurse Practitioner | 11745 Us Highway 23 S, Ossineke, MI 49766-9582 | 2009-09-14 |
| 1255467601 | Midmichigan Medical Center - Alpena | Pharmacy | 11745 Us Highway 23 S, Ossineke, MI 49766-9582 | 2007-02-27 |
| 1871523977 | Bernard J. O'brien | Physician Assistant | 11745 Us Highway 23 S, Ossineke, MI 49766-9582 | 2006-07-04 |
| 1205862455 | Jacqueline M Fitzgerald | General Practice | 11745 Us Highway 23 S, Ossineke, MI 49766-9582 | 2006-06-22 |
| 1831172600 | Barbara Jean Kacel | Nurse Practitioner | 11745 Us Highway 23 S, Ossineke, MI 49766-9582 | 2005-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841220001 | Susan Y. Beatty-page | Physician Assistant | Po Box 83, Ossineke, MI 49766-0083 | 2006-07-04 |
| 1558700971 | Billy Ray Fields Jr. | Military Health Care Provider | 6501 Us 23 South, Ossineke, MI 49766-9611 | 2013-06-19 |
| 1902251630 | Madeleine Mcconnell | Counselor | 1802 E Nicholson Hill Rd, Ossineke, MI 49766-9701 | 2016-05-02 |
| 1073177408 | Sunrise Animal Sanctuary | Counselor | 4202 Wilds Rd, Ossineke, MI 49766-9752 | 2019-05-01 |
| 1962050690 | Alcona Citizens for Health, Inc. | Social Worker | 12170 Us Highway 23 S Rm 205b, Ossineke, MI 49766-9776 | 2019-08-27 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.