Agnp Health LLC

Organization Active NPI Clinic/Center · Charlotte, MI

NPI 1124755848 · NPPES record last updated Aug 7, 2022

Key facts

NPI
1124755848
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
AGNP HEALTH LLC
Practice address
134 S Cochran Ave
Charlotte, MI 48813-1557
Phone
(517) 541-1000
Fax
(517) 543-4270
NPI assigned
Aug 3, 2022
Organization subpart
No

Authorized official

Name
Erin Griffith, NP-C NPI 1912352915
Title
Owner
Phone
(517) 225-2467

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

134 S Cochran Ave
Charlotte, MI 48813-1557

Mailing address

10265 Woodbury Rd
Laingsburg, MI 48848-9744
Phone (517) 225-2467

Other identifiers

IdentifierTypeStateIssuer
4704264964OtherMIAPRN LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 7, 2022.

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659830400000",
    "number": "1124755848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10265 WOODBURY RD",
            "city": "LAINGSBURG",
            "state": "MI",
            "postal_code": "488489744",
            "telephone_number": "517-225-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 S COCHRAN AVE",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131557",
            "telephone_number": "517-541-1000",
            "fax_number": "517-543-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGNP HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-07",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-225-2467",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "4704264964",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, MI

All providers in Charlotte, MI · Clinic/Center in Michigan

Sources for this page

Verify at the official NPI Registry.