GREAT LAKES RECOVERY CENTERS, INC. (NPI# 1932378858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932378858 |
Entity Type | Organization |
Organization Name | GREAT LAKES RECOVERY CENTERS, INC. |
Practice Address |
241 Wright Street Marquette MI 49855 |
Mailing Address |
97 S 4th St Ste C Ishpeming MI 49849-2168 |
Practice Telephone | 9062287611 |
Practice Fax Number | 9062288156 |
Mailing Telephone | 9062289699 |
Mailing Fax Number | 9062280505 |
Enumeration Date | 2008-02-25 |
Last Update Date | 2019-05-03 |
Authorized Official Name | KARY A HAMILTON (BILLING MANAGER) |
Authorized Official Telephone | 9062289699 |
Is Organization Subpart | Y |
Parent Organization Name | GREAT LAKES RECOVERY CENTERS, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 3272541 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669899241 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 104 Malton Road, Negaunee, MI 49866 | 2014-03-21 |
1922300714 | Great Lakes Recovery Centers, Inc. | Community/Behavioral Health | 3120 10th Street, Suite 2, Menominee, MI 49858 | 2010-11-30 |
1619202447 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 413 Maple Street, Suite 2, Munising, MI 49862 | 2009-10-13 |
1902131733 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 396 N. State Street, 4th Floor, St. Ignace, MI 49781 | 2009-10-13 |
1629303441 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 601 Lakeshore Drive, Suite 101, Manistique, MI 49854 | 2009-10-13 |
1679714083 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 | 2009-03-13 |
1679742597 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 2655 Ashmun St., Sault Ste. Marie, MI 49783 | 2008-02-25 |
1801065925 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 301 E Spruce St, Sault Sainte Marie, MI 49783-2134 | 2008-02-22 |
1821267956 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 220 Rooselvelt Street, Ironwood, MI 49938 | 2008-02-22 |
1215106349 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 427 S. Stephenson Avenue, Suite 214, Iron Mountain, MI 49938 | 2008-02-22 |
Street Address |
241 WRIGHT STREET |
City | MARQUETTE |
State | MI |
Zip Code | 49855 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598235129 | Nevin J Donnell | Counselor | 241 Wright Street, Marquette, MI 49855 | 2018-11-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
Find all providers in zip 49855 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588020374 | Great Lakes Recovery Center | Clinic/Center | 1009 W Ridge St, Suite C, Marquette, MI 49855-3997 | 2016-01-08 |
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 |
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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.