ST CLAIR COUNTY COMMUNITY MENTAL HEALTH SUD SERVICES - MARINE CITY (NPI# 1811535933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811535933 |
| Entity Type | Organization |
| Organization Name | ST CLAIR COUNTY COMMUNITY MENTAL HEALTH SUD SERVICES - MARINE CITY |
| Practice Address |
135 Broadway St Marine City MI 48039-1607 |
| Practice Telephone | 8107655010 |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |
| Authorized Official Name | LISA HUBBARD (DATA TECHNICIAN) |
| Authorized Official Telephone | 8109663566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
135 BROADWAY ST |
| City | MARINE CITY |
| State | MI |
| Zip Code | 48039-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821133265 | St Clair County Community Mental Health Authority | Community/Behavioral Health | 135 Broadway St, Marine City, MI 48039-1607 | 2007-02-21 |
| 1104460468 | Leigha Claerhout | Registered Nurse | 135 Broadway St, Marine City, MI 48039-1607 | 2019-10-30 |
| 1407224413 | Renee Morris | Social Worker | 135 Broadway St, Marine City, MI 48039-1607 | 2015-09-08 |
| 1124329255 | Katie Janisse | Social Worker | 135 Broadway St, Marine City, MI 48039-1607 | 2010-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699174813 | Family Meds Inc | Pharmacy | 302 S Water St, Marine City, MI 48039 | 2014-08-14 |
| 1609294099 | Christina Evanko | Psychologist | 6660 Starville Rd, Cottrellville, MI 48039 | 2014-04-02 |
| 1285910463 | Gerald M Wesley | Dentist | 6240 Mckinley Rd, Marine City, MI 48039 | 2011-11-01 |
| 1871523522 | Kevin Gerardd Gilbert | Chiropractor | 6640 S River Rd, Marine City, MI 48039 | 2006-07-04 |
| 1184885493 | Norbert C. Zimmer P.C. | Chiropractor | 447 S Water St, Marine City, MI 48039 | 2008-06-19 |
| 1972909323 | Gerald Wesley | Dentist | 6240 Mckinley Rd, Cottrellville, MI 48039-1119 | 2014-11-12 |
| 1295813129 | Pulsar Medical Group PC | Internal Medicine | 538 Broadway St, Marine City, MI 48039-1605 | 2006-11-01 |
| 1801943485 | Paul J Ratusznik | Physical Therapist | 115 S Main St, Marine City, MI 48039-1625 | 2007-01-04 |
| 1104826973 | Jae Young Lee | Internal Medicine | 130 Washington St, Marine City, MI 48039-1680 | 2005-07-22 |
| 1811155039 | Jae Young Lee Md PC | Internal Medicine | 130 Washington St, Marine City, MI 48039-1680 | 2008-05-23 |
| Find all providers in zip 48039 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861032534 | Aim Recovery LLC | Clinic/Center | 34290 Ford Rd, Westland, MI 48185-3051 | 2020-01-10 |
| 1679135438 | Salvation Army | Clinic/Center | 72 Sheldon Ave Se, Grand Rapids, MI 49503-4234 | 2019-07-02 |
| 1194282889 | Saginaw Odyssey House, Inc. | Clinic/Center | 1241 N Michigan Ave, Saginaw, MI 48602-4729 | 2019-02-28 |
| 1093210551 | W. A. Foote Memorial Hospital, Inc | Clinic/Center | 2424 W Washington Ave Ste 100, Jackson, MI 49203-1236 | 2018-03-27 |
| 1861862641 | Michigan Forensic Intervention Services | Clinic/Center | 21821 Lakeview St, Saint Clair Shores, MI 48080-4057 | 2015-10-06 |
| 1396149068 | Crc Recovery, Inc. | Clinic/Center | 522 South Maple Road, Ann Arbor, MI 48103-3837 | 2014-10-09 |
| 1679714083 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 | 2009-03-13 |
| 1962606632 | St Johns Home | Clinic/Center | 2355 Knapp St Ne, Grand Rapids, MI 49505-4415 | 2007-06-14 |
| 1699981498 | West Michigan Therapy Inc | Clinic/Center | 130 E Apple Ave, Muskegon, MI 49442-3405 | 2007-05-16 |
| 1982810024 | Community Healing Center | Clinic/Center | 816 East Michigan Ave, Suite 103, Paw Paw, MI 49079-1215 | 2007-05-15 |
| Find all providers with the same taxonomy | ||||
| City | MARINE CITY |
| Zip Code | 48039 |
Please comment or provide details below to improve the information on ST CLAIR COUNTY COMMUNITY MENTAL HEALTH SUD SERVICES - MARINE CITY.
| 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.