Active NPI
HPCN
- Internal Medicine Physician
- N Muskegon, MI
National Provider Identifier
1003990201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301039064
- Legal business name
- HPCN
- Practice address
- 1877 N Getty St
N Muskegon, MI 49445-8563 - Phone
- (231) 728-5073
- Fax
- (231) 728-5086
- NPI assigned
- Oct 24, 2006
- 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
- Linda Ellison
- Title
- Accounting Manager
- Phone
- (231) 728-1678
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301072876 | MI | |
| Family Medicine Physician | 207Q00000X | 4301077504 | MI | |
| Family Medicine Physician | 207Q00000X | 4301060189 | MI | |
| Internal Medicine Physician | 207R00000X | 4301039064 | MI | Primary |
| Internal Medicine Physician | 207R00000X | 4301063121 | MI | |
| Internal Medicine Physician | 207R00000X | 4301077595 | MI | |
| Internal Medicine Physician | 207R00000X | 4301080510 | MI | |
| Internal Medicine Physician | 207R00000X | 43010085193 | MI | |
| Physician Assistant | 363A00000X | 5601002357 | MI |
Addresses
Primary practice location
1877 N Getty St
N Muskegon, MI 49445-8563
Mailing address
1877 N Getty St
N Muskegon, MI 49445-8563
Phone (231) 728-5073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11OF110940 | Other | MI | BCBS GROUP NUMBER |
Other names 1
- BEAR CREEK HEALTH CENTER
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1003990201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1877 N GETTY ST",
"city": "N MUSKEGON",
"state": "MI",
"postal_code": "494458563",
"telephone_number": "231-728-5073",
"fax_number": "231-728-5086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1877 N GETTY ST",
"city": "N MUSKEGON",
"state": "MI",
"postal_code": "494458563",
"telephone_number": "231-728-5073",
"fax_number": "231-728-5086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HPCN",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "ELLISON",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "ACCOUNTING MANAGER",
"authorized_official_telephone_number": "231-728-1678"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": "4301072876",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": "4301077504",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": "4301060189",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301039064",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301063121",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301077595",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301080510",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "43010085193",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601002357",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "11OF110940",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BEAR CREEK HEALTH CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in N Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.