ASPIRUS KEWEENAW (NPI# 1649320524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649320524 |
| Entity Type | Organization |
| Organization Name | ASPIRUS KEWEENAW |
| Other Organization Name | ASPIRUS KEWEENAW LAKE LINDEN CLINIC |
| Practice Address |
110 Calumet Street Lake Linden MI 49945-1308 |
| Mailing Address |
205 Osceola Street Laurium MI 49913-2134 |
| Practice Telephone | 9062965040 |
| Practice Fax Number | 9062961006 |
| Mailing Telephone | 9063376560 |
| Mailing Fax Number | 9063376562 |
| Enumeration Date | 2007-01-11 |
| 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 | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS | 00108 | 01 |
| Other Name | Type Code |
|---|---|
| Aspirus Keweenaw Lake Linden Clinic | 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 |
| 1508001629 | Aspirus Keweenaw | General Practice | 900 Memorial Drive, Houghton, MI 49931 | 2008-12-03 |
| 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 |
110 CALUMET STREET |
| City | LAKE LINDEN |
| State | MI |
| Zip Code | 49945-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689037475 | Morgan Nicole Codere | Specialist/Technologist | 1200 Calumet St, Lake Linden, MI 49945 | 2016-03-30 |
| 1750495727 | Aspirus Keweenaw Enterprise | Pharmacy | 220 Calumet St, Lake Linden, MI 49945 | 2006-08-18 |
| 1740603885 | Upper Great Lakes Family Health Center | Clinic/Center | 945 Ninth Street, Lake Linden, MI 49945-1100 | 2014-01-25 |
| 1811919251 | Thomas Mcconnon | Emergency Medicine | 945 9th St, Lake Linden, MI 49945-1100 | 2006-07-24 |
| 1003475344 | Jenny M Bausano | Nurse Practitioner | 945 9th St, Lake Linden, MI 49945-1100 | 2019-06-11 |
| 1154758167 | Portage Physician Practices Inc | Clinic/Center | 945 9th St, Lake Linden, MI 49945-1100 | 2013-10-04 |
| 1386970481 | Portage Health Inc. | Family Medicine | 945 9th St, Lake Linden, MI 49945-1100 | 2009-10-23 |
| 1033413612 | Pieter Nieuwenhuis | Physical Therapist | 1310 Front St, Lake Linden, MI 49945-1220 | 2010-12-22 |
| 1538552005 | At Home Companions, Inc. | Home Health | 1150 Garden St, Lake Linden, MI 49945-1292 | 2015-03-09 |
| 1356537310 | Bruce Robert Macdonald | Dentist | 207 Calumet St, Lake Linden, MI 49945-1309 | 2007-09-23 |
| Find all providers in zip 49945 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154758167 | Portage Physician Practices Inc | Clinic/Center | 945 9th St, Lake Linden, MI 49945-1100 | 2013-10-04 |
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| 1881254605 | Schoolcraft Memorial Hospital | Clinic/Center | W11650 Us Highway 2, Naubinway, MI 49762-5116 | 2019-06-14 |
| 1093370264 | Samaritan Health Care, PC | Clinic/Center | 4361 220th Ave, Reed City, MI 49677-8594 | 2019-05-03 |
| 1457916637 | Samaritan Health Care, PC | Clinic/Center | 5916 Us Highway 31 S, Charlevoix, MI 49720-9703 | 2019-05-03 |
| 1033621263 | Caro Community Hospital | Clinic/Center | 345 N State St, Caro, MI 48723-1537 | 2017-10-27 |
| 1275050726 | Hills & Dales General Hospital, Inc. | Clinic/Center | 130 Millwood Street, Caro, MI 48723-1630 | 2017-08-25 |
| 1275932329 | Sturgis Hospital, Inc. | Clinic/Center | 111 S Saint Joseph St, Colon, MI 49040-9342 | 2014-08-14 |
| Find all providers with the same taxonomy | ||||
| City | LAKE LINDEN |
| Zip Code | 49945 |
Please comment or provide details below to improve the information on ASPIRUS KEWEENAW.
| 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.