Organization Active NPI

Northwest Michigan Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bear Lake, MI
National Provider Identifier
1124480108
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NORTHWEST MICHIGAN HEALTH SERVICES, INC.
Practice address
6433 8 Mile Rd
Bear Lake, MI 49614-9797
Phone
(231) 889-7180
Fax
(231) 889-7181
NPI assigned
Mar 28, 2016
Last updated
Feb 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Authorized official

Name
Heidi Mae Britton, MPH, CPHA
Title
Chief Executive Officer
Phone
(231) 947-1112

Specialties & licenses 1

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

Addresses

Primary practice location

6433 8 Mile Rd
Bear Lake, MI 49614-9797

Mailing address

10767 E Traverse Hwy
Traverse City, MI 49684-6219
Phone (231) 947-1112

National Provider Directory

National Provider Directory
Tax ID family
Northwest Michigan Health Services Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

6433 8 Mile Rd
Bear Lake, MI 49614
Phone (231) 889-7180

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1124480108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10767 E TRAVERSE HWY",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846219",
            "telephone_number": "231-947-1112",
            "fax_number": "231-947-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6433 8 MILE RD",
            "city": "BEAR LAKE",
            "state": "MI",
            "postal_code": "496149797",
            "telephone_number": "231-889-7180",
            "fax_number": "231-889-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MICHIGAN HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "BRITTON",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "231-947-1112",
        "authorized_official_credential": "MPH, CPHA"
    },
    "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 Bear Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.