NORTH SHORES CENTER, LLC (NPI# 1962060541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962060541 |
Entity Type | Organization |
Organization Name | NORTH SHORES CENTER, LLC |
Practice Address |
6193 Norway Rd Oscoda MI 48750-8739 |
Mailing Address |
4424 Winterwood Ln Saginaw MI 48603-8673 |
Practice Telephone | 9895693772 |
Enumeration Date | 2019-05-30 |
Last Update Date | 2019-06-11 |
Authorized Official Name | JILL LEBOURDAIS (LICENSEE) |
Authorized Official Telephone | 9894931451 |
Authorized Official Credential | PA-C |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
Street Address |
6193 NORWAY RD |
City | OSCODA |
State | MI |
Zip Code | 48750-8739 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962907105 | Moira Maus | Occupational Therapist | Aune Medical Center, 5671 N. Skeel Avenue, Oscoda, MI 48750 | 2018-03-29 |
1760938310 | Mark Jordan | Pharmacist | 5719 Us 23, Oscoda, MI 48750 | 2016-09-01 |
1942560933 | Jennifer L Broers | Dentist | 5671 N. Skeel Ave., Suite 8, Oscoda, MI 48750 | 2012-05-23 |
1386957355 | Trudi Lynn Marsh | Social Worker | 5671 N. Skeel Ave, Suite 6, Oscoda, MI 48750 | 2010-07-20 |
1508184425 | Calvin J. Maestro Jr. | Family Medicine | 9100b Wyoming St, Oscoda, MI 48750 | 2010-05-17 |
1285957597 | Sheila Diane Payea | Pharmacist | 5719 N Us23, Oscoda, MI 48750 | 2010-03-02 |
1225269152 | Midmichigan Medical Center-alpena | Durable Medical Equipment & Medical Supplies | 109 Evergreen, Oscoda, MI 48750 | 2009-07-27 |
1992957534 | Tara Elann Swanton | Dentist | 4460 East County Road F-41, Oscoda, MI 48750 | 2008-10-15 |
1629276456 | Oscoda Area Chiropractic Center | Chiropractor | 5671 N Skeel Avenue, Oscoda, MI 48750 | 2007-07-03 |
1760554539 | Terry David Trombley | Chiropractor | 5671 N Skeel, Oscoda, MI 48750 | 2006-11-15 |
Find all providers in zip 48750 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
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1205442142 | Comprehensive Health and Home Care Services LLC | Clinic/Center | 2505 Burton St Se Ste 102a, Grand Rapids, MI 49546-4804 | 2020-09-16 |
1356961064 | Turning Point Day Program Center | Clinic/Center | 19720 Dorset St, Southfield, MI 48075-3925 | 2020-04-22 |
1316585367 | Valarie James, LLC | Clinic/Center | 1290 36th St Sw, Wyoming, MI 49509-3468 | 2019-12-19 |
1306484175 | Joy Counseling Services Pllc | Clinic/Center | 1000 W Maple Rd Ste 108, Troy, MI 48084-5306 | 2019-12-12 |
1922646751 | Tranquility Christian Counseling Inc | Clinic/Center | 24100 Southfield Rd Ste 320f, Southfield, MI 48075-2819 | 2019-12-11 |
1982241964 | Marquette Counseling Service | Clinic/Center | Lori Johnson, 112 W Washington Street Ste A, Marquette, MI 49855-3844 | 2019-12-09 |
1033769534 | Honor First | Clinic/Center | 25801 Harper Ave, Saint Clair Shores, MI 48081-2233 | 2019-09-17 |
1871140681 | Modern Family Counseling Center | Clinic/Center | 4195 Barcroft Way, West Bloomfield, MI 48323-1803 | 2019-08-26 |
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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.