Alcona Citizens for Health, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

ALCONA CITIZENS FOR HEALTH, INC.

Doing business as

Alcona Health Center Advanced Psychiatric Services

Practice address

32905 W 12 Mile Rd Ste 410
Farmington Hills, MI 48334-3346

Phone

(989) 736-8157

NPI assigned

Jan 24, 2018

Organization subpart

Yes

Parent organization

ALCONA CITIZENS FOR HEALTH, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christine Baumgardner, CEO

Title

Ceo

Phone

(989) 358-0673

Specialties & licenses 1

Addresses

Other names 1

• Alcona Health Center Advanced Psychiatric Services Doing business as

Part of

Alcona Health Ctr

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1023516184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497070655",
            "telephone_number": "989-736-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32905 W 12 MILE RD STE 410",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343346",
            "telephone_number": "989-736-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCONA CITIZENS FOR HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALCONA CITIZENS FOR HEALTH, INC.",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "BAUMGARDNER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-358-0673",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alcona Health Center Advanced Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon Alcin
• Gabrielle Alcione
• Sherry Alcivar
• Peter Alcocer
• Sierra Alcon
• Khulood Aldairawi
• Ahlam Aldarwbi
• Marisol Aldaz
• Hannah Alden
• Sherri Alden

• Federally Qualified Health Center (FQHC) in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Federally Qualified Health Center (FQHC) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.