Organization Active NPI

Manton Health Center PLLC

  • Rural Health Clinic/Center
  • Traverse City, MI
National Provider Identifier
1144593765
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MANTON HEALTH CENTER PLLC
Practice address
829 Traditions Dr
Traverse City, MI 49696-8965
Phone
(231) 715-6113
Fax
(231) 824-4108
NPI assigned
Feb 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
David B May, D.O.
Title
Member
Phone
(231) 645-1425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

829 Traditions Dr
Traverse City, MI 49696-8965

Mailing address

115 E 7TH St
Manton, MI 49663-9429
Phone (231) 824-4100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1144593765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 7TH ST",
            "city": "MANTON",
            "state": "MI",
            "postal_code": "496639429",
            "telephone_number": "231-824-4100",
            "fax_number": "231-824-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 TRADITIONS DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496968965",
            "telephone_number": "231-715-6113",
            "fax_number": "231-824-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANTON HEALTH CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "231-645-1425",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.