NPIMap

Organization Active NPI

Hamilton Community Health Network, Inc

  • Federally Qualified Health Center (FQHC)
  • Lapeer, MI
National Provider Identifier
1093180952
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HAMILTON COMMUNITY HEALTH NETWORK, INC
Practice address
1570 Suncrest Dr
Lapeer, MI 48446-1154
Phone
(810) 667-0500
NPI assigned
Dec 3, 2015
Last updated
Jan 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Authorized official

Name
Clarence Pierce
Title
Ceo
Phone
(810) 406-4951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1570 Suncrest Dr
Lapeer, MI 48446-1154

Mailing address

225 E 5TH St
Suite 300
Flint, MI 48502-1641
Phone (810) 406-4912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160415001138 MI Part A Provider - Federally Qualified Health Center (FQHC) 1254249196 Practice locations: Lapeer, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093180952. Details of each certification follow.

Federally qualified health center certification: CCN 231094

Legal name
HAMILTON COMMUNITY HEALTH NETWORK INC
Doing business as
LAPEER CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 23, 2016
Last certification
Mar 23, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 4, 1988 in MI
Enrollment address
1570 Suncrest Dr
Lapeer, MI 48446-1154

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2109687Hamilton Community Health Network1570 Suncrest, Lapeer, MI 48446Provider-performed microscopyFeb 29, 2028

National Provider Directory

National Provider Directory
Tax ID family
Hamilton Community Health Network Inc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Dana Manns Individual W-2 Managing EmployeeCfo Sep 23, 2022
Clarence R. Pierce Individual Corporate OfficerCeo Jun 1, 2006
Operational/Managerial ControlChief Executive Officer Jun 1, 2006
Nancy Rich Individual Operational/Managerial ControlBoard Secretary Jan 1, 2015
Ronald Stamps Individual Operational/Managerial ControlBoard Vice President Jan 1, 2015
Michael Townsend Individual Corporate OfficerPresident of Board Jan 1, 2014
Gloria Quinney Individual Operational/Managerial ControlBoard Treasurer Jan 1, 2015

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hamilton Community Health Network IncFlint, MI, CCN 231167 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1983
Hamilton Community Health Network, Inc.Whitmore Lake, MI, CCN C71025 Federally qualified health center Operational/Managerial Control Apr 1, 2024
Hamilton Community Health Network IncBurton, MI, CCN C71046 Federally qualified health center Operational/Managerial Control Aug 10, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1093180952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 5TH ST",
            "address_2": "SUITE 300",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021641",
            "telephone_number": "810-406-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 SUNCREST DR",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461154",
            "telephone_number": "810-667-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON COMMUNITY HEALTH NETWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "810-406-4951"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.