NORTH SHORES CENTER, LLC


Address: 6193 Norway Rd, Oscoda, MI 48750-8739
Phone: 9895693772

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 6193 NORWAY RD
City OSCODA
State MI
Zip Code 48750-8739

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

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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Competitor

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City OSCODA
Zip Code 48750

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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