AUSABLE VALLEY CMH (NPI# 1952628893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952628893 |
| Entity Type | Organization |
| Organization Name | AUSABLE VALLEY CMH |
| Practice Address |
1199 Harris Ave Tawas City MI 48763-9681 |
| Mailing Address |
Po Box 310 Tawas City MI 48764-0310 |
| Practice Telephone | 9893628636 |
| Mailing Telephone | 9893628636 |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2010-05-03 |
| Authorized Official Name | BONNIE LIXEY (REIMBURSEMENTS SUPERVISOR) |
| Authorized Official Telephone | 9893628636 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AUSABLE VALLEY CMH | 1199 W Harris Ave, Tawas City, MI 48763-9681 |
| Street Address |
1199 HARRIS AVE |
| City | TAWAS CITY |
| State | MI |
| Zip Code | 48763-9681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659410041 | John Christopher Moran | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2007-02-05 |
| 1063023877 | Jennifer Verbeke | Case Manager/Care Coordinator | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2020-08-14 |
| 1588286249 | Erica Ann Martin | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2020-05-15 |
| 1952930067 | Cheryl Ann Birkenbach | Registered Nurse | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2020-04-02 |
| 1316573868 | Vera Lee Middleton | Counselor | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2020-03-17 |
| 1265077143 | Amanda Piglowski | Case Manager/Care Coordinator | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2019-11-14 |
| 1972060564 | Laurie Miller | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2019-03-01 |
| 1902374176 | Morgan Taylor Wynkoop | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2018-11-06 |
| 1396210753 | Bryan Blattert | Social Worker | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2018-10-11 |
| 1992289656 | Sydney Simpson Larsen | Counselor | 1199 Harris Ave, Tawas City, MI 48763-9681 | 2018-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720447006 | Josie Short | Student in an Organized Health Care Education/Training Program | 127 Wheeler Street, Tawas, MI 48763 | 2016-02-16 |
| 1689052698 | Victoria Mcgillis | Nurse Practitioner | 325 E M 55 Ste B, Tawas City, MI 48763 | 2015-05-11 |
| 1942500160 | Jeffrey M Chadwick O D P C | Optometrist | 325 M-55, Tawas City, MI 48763 | 2010-10-22 |
| 1659536068 | Josip Petani | Pediatrics | 101 W. Lake St, Tawas City, MI 48763 | 2008-07-24 |
| 1790963312 | Phillip A Wienczewski Pllc | Dentist | 671 E M 55, Tawas City, MI 48763 | 2008-02-06 |
| 1902090038 | Life Family Chiropractic LLC | Chiropractor | 196 M 55, Life Family Chiropractic, Tawas City, MI 48763 | 2007-08-31 |
| 1467586446 | Thomas Aldrich Dawson | Dentist | 508 Hemlock Avenue, Tawas City, MI 48763 | 2007-03-14 |
| 1497819056 | Phillip Allen Wienczewski | Dentist | 671 E M55, Tawas City, MI 48763 | 2006-12-20 |
| 1821163106 | Charles Edward Kudwa | Dentist | 510 West Lake St, Tawas City, MI 48763 | 2006-11-21 |
| 1720017312 | Jeffrey Michael Chadwick | Optometrist | 325 M-55 East, Tawas City, MI 48763 | 2006-07-03 |
| Find all providers in zip 48763 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730664 | Edward W. Sparrow Hospital Association | Clinic/Center | 2900 Hannah Blvd Ste 204, East Lansing, MI 48823-5382 | 2020-11-03 |
| 1952909558 | Quilted Rose Clinical Services, Pllc | Clinic/Center | 269 Walker St Ste 256, Detroit, MI 48207-4258 | 2020-10-15 |
| 1386250694 | A Better Me Therapy, LLC | Clinic/Center | 2503 S Linden Rd Ste 259, Flint, MI 48532-5462 | 2020-09-22 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1659985042 | Passion and Purpose Pediatrics | Clinic/Center | 2944 Olden Oak Ln Apt 204, Auburn Hills, MI 48326-2177 | 2020-09-02 |
| 1710597745 | Renew Child and Family Center | Clinic/Center | 383 Starkweather St, Plymouth, MI 48170-1382 | 2020-08-04 |
| 1467075358 | Shear Pointe Inc | Clinic/Center | 1971 E 14 Mile Rd, Birmingham, MI 48009-7244 | 2020-05-26 |
| 1992326466 | New Healthcare PC | Clinic/Center | 911 Dix St Ste B, Otsego, MI 49078-1609 | 2020-05-06 |
| 1851920581 | Emotional Wellness Group LLC | Clinic/Center | 11956 E Outer Dr, Detroit, MI 48224-2630 | 2020-04-04 |
| 1003445800 | Dr. Chris Popp, PC | Clinic/Center | 107 Aprill Dr Ste 5, Ann Arbor, MI 48103-1956 | 2020-04-03 |
| Find all providers with the same taxonomy | ||||
| City | TAWAS CITY |
| Zip Code | 48763 |
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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.