Alcona Citizens for Health, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ALCONA CITIZENS FOR HEALTH, INC

Doing business as

AHC-Alpena High School

Practice address

3303 S Third Ave
Alpena, MI 49707-3307

Phone

(989) 358-5200

NPI assigned

Feb 2, 2016

Last updated

Feb 2, 2016By 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

Christine Baumgardner

Title

Ceo

Phone

(989) 736-8157

Specialties & licenses 1

Addresses

Other names 1

• AHC-Alpena High School Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144688342. Details of each certification follow.

• CCN 231100 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 231100

Legal name

ALPENA HIGH SCHOOL

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Nov 9, 2016

Last certification

Nov 9, 2016

Ownership / control type

Non-profit – other

Facility address

3303 S Third Avenue
Alpena, MI 49707

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1144688342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "LINCOLN",
            "state": "MI",
            "postal_code": "487420279",
            "telephone_number": "989-736-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 S THIRD AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497073307",
            "telephone_number": "989-358-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCONA CITIZENS FOR HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "BAUMGARDNER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-736-8157"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHC-Alpena High School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Agerton
• Florencio Cusip Agustin III, PT
• Alcona Citizens for Health Inc (Alcona Health Center Pharmacy Services)
• Alcona Citizens for Health, Inc (Thunder Bay Junior High School)
• Alcona Citizens for Health, Inc (Alcona Health Center- Alpena Dental Services)
• Alcona Citizens for Health, Inc (AHC-Aces Academy)
• Alcona Citizens for Health, Inc (Ella White School)
• Alcona Citizens for Health, Inc. (Alcona Health Center-Alpena Services)
• Alcona Citizens for Health, Inc. (AHC Lincoln School Wildcat Health Extension)
• Alcona Citizens for Health, Inc. (Alcona Health Center-Alpena Dental Services)

• Clinical Social Worker in Alpena, MI
• Providers in Alpena, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.