Traverse Health Clinic and Coalition

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TRAVERSE HEALTH CLINIC AND COALITION

Doing business as

Traverse Health Clinic Pharmacy

Practice address

1719 S Garfield Ave
Traverse City, MI 49686-4337

Phone

(231) 642-5813

Fax

(231) 935-0962

NPI assigned

Mar 19, 2026

Last updated

Mar 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Casey Kandow

Title

Ceo

Phone

(231) 935-0799

Specialties & licenses 1

Addresses

Other names 1

• Traverse Health Clinic Pharmacy Doing business as

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1144178617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 S GARFIELD AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496864337",
            "telephone_number": "231-642-5813",
            "fax_number": "231-935-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 S GARFIELD AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496864337",
            "telephone_number": "231-642-5813",
            "fax_number": "231-935-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVERSE HEALTH CLINIC AND COALITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "KANDOW",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-935-0799"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Traverse Health Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Traverse City Residentia Lcare, LLC
• Traverse City Teen Counseling
• Traverse City Uscg Phcy
• Traverse Dental Associates, PLLC
• Traverse Geriatric Village, Inc (bortz health care of traverse)
• Traverse Health Clinic and Coalition (Traverse Health Clinic)
• Traverse Health Clinic and Coalition (Traverse Health Clinic)
• Traverse Health Clinic and Coalition (Traverse Health Clinic)
• Traverse Health Clinic and Coalition (Mobile Medical Van)
• Traverse Neuro Rehabilitation

• Community/Retail Pharmacy in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.