Active NPI
Alpena Redicare Walk-in Clinic, PLLC
- Family Medicine Physician
- Alpena, MI
National Provider Identifier
1003292905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ALPENA REDICARE WALK-IN CLINIC, PLLC
- Practice address
- 1691 M 32 W
Suite 2
Alpena, MI 49707-8210 - Phone
- (517) 819-9279
- NPI assigned
- Aug 3, 2015
- Last updated
- Aug 3, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jessica Glenn-Beatty, MD
- Title
- Owner
- Phone
- (517) 819-9279
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1691 M 32 W
Suite 2
Alpena, MI 49707-8210
Mailing address
8607 US Highway 23 S
Ossineke, MI 49766-9563
National Provider Directory
National Provider DirectoryLocations
1691 M 32 W
Ste 2
Alpena, MI 49707
Phone (517) 819-9279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438560000000",
"number": "1003292905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8607 US HIGHWAY 23 S",
"city": "OSSINEKE",
"state": "MI",
"postal_code": "497669563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1691 M 32 W",
"address_2": "SUITE 2",
"city": "ALPENA",
"state": "MI",
"postal_code": "497078210",
"telephone_number": "517-819-9279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALPENA REDICARE WALK-IN CLINIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-03",
"last_updated": "2015-08-03",
"status": "A",
"authorized_official_last_name": "GLENN-BEATTY",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "517-819-9279",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpena, MI
- Alpena Medical Arts, PC
- Alpena OB-GYN PC (Womens Health Center of Alpena)
- Alpena Opco LLC (Medilodge of Alpena)
- Alpena Orthopaedic Associates PLLC
- Alpena Radiology PC
- Alpena Regional Medical Center-BHS
- Alpena Surgical Associates, P.L.L.C.
- Alpena Therapy Associates PLC
- Alpena-Montmorency-Alcona Educational Service District
- American Pain Consultants Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.