GREAT LAKES RECOVERY CENTERS, INC.


Address: 241 Wright Street, Marquette, MI 49855
Phone: 9062287611

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).

Provider Overview

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.

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MI 3272541 05

Other Provider IDs and Locations

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

Office Location

Street Address 241 WRIGHT STREET
City MARQUETTE
State MI
Zip Code 49855

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598235129 Nevin J Donnell Counselor 241 Wright Street, Marquette, MI 49855 2018-11-27

Providers in the same zip code

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 Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City MARQUETTE
Zip Code 49855

Improve Information

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Dataset Information

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.

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