NPIMap

Mymichigan Medical Center Alpena

Organization Active NPI Rural Health Clinic/Center · Alpena, MI

NPI 1144722604 · NPPES record last updated Jan 14, 2026

Key facts

NPI
1144722604
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
MYMICHIGAN MEDICAL CENTER ALPENA
Practice address
211 Long Rapids Rd
Alpena, MI 49707-1315
Phone
(989) 354-2142
NPI assigned
Mar 1, 2018
Organization subpart
No

Authorized official

Name
Sarah James
Title
Manager, Provider Enrollment
Phone
(989) 701-4734

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 7

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

Facilities connected through Provider of Services related, parent or unit certification numbers.

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Facilities with the same owner 30

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 30

Practitioners 414

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

View all 414

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0916828Mymichigan Family Medicine
211 Long Rapids Road, Alpena, MI 49707		Certificate of waiverJun 30, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MI

Rural health clinic certification: CCN 233900

Legal name
MYMICHIGAN MEDICAL GROUP
Doing business as
MIDMICHIGAN PHYSICIANS GROUP FAMILY MEDICINE
Certification status
Terminated Other: provider status change, Mar 1, 2023
Provider type (POS)
Rural health clinic
Participating since
Nov 19, 1996
Last certification
Dec 6, 2018
Ownership / control type
2B
Most recent change of ownership
Mar 1, 2023 (2 total)
Organization structure
Corporation · Non-profit
Incorporated
Jul 27, 1998 in MI
Enrollment address
211 Long Rapids Rd
Alpena, MI 49707-1315

Rural health clinic certification: CCN 238775

Legal name
MYMICHIGAN MEDICAL CENTER ALPENA
Doing business as
MYMICHIGAN FAMILY MEDICINE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 1, 2023
Last certification
Nov 25, 2025
Ownership / control type
2B
Organization structure
Corporation · Non-profit
Enrollment address
211 Long Rapids Rd
Alpena, MI 49707-1315
Related CCNs
230036

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James S Bicknell
Individual 		Corporate Officer
President		 Aug 1, 2016
Christy L Werth
Individual 		W-2 Managing Employee
Medical Director		 Aug 1, 2016
Susan M Sallach
Individual 		Corporate Officer
Board Member		 Aug 1, 2016
Thomas V Claringbold
Individual 		Corporate Officer
Board Member - Chairman		 Aug 1, 2016
Kenneth Vansumeren
Individual 		Corporate Officer
Board Member		 Aug 1, 2016
Paul Berg
Individual 		Corporate Officer
Board Member - Vice Chairman		 Aug 1, 2016
John Allen Lieberman
Individual 		Corporate Officer
Board Member		 Aug 1, 2016
Kathleen Regan
Individual 		Corporate Officer
Board Member		 Aug 1, 2016
Cinthia Brooks
Individual 		W-2 Managing Employee Aug 1, 2016
Lesley Stgermain
Individual 		W-2 Managing Employee Aug 1, 2016
Peter Bistolarides
Individual 		Corporate Officer
Board Member		 Apr 1, 2016
Kirk Jon Bortel
Individual 		Corporate Officer
Board Member		 Aug 1, 2016
Phillip a Kadaj
Individual 		Corporate Officer
Board Member		 Aug 1, 2017
Sarah James
Individual 		Corporate Officer
Manager of Operations, Pe		 Jul 1, 2025
Lydia Watson
Individual 		Corporate Officer
President		 Mar 1, 2023
Samantha Hunter
Individual 		W-2 Managing Employee Feb 26, 2025
Mymichigan Health
Organization · Midland, MI
Corporation, Non-profit 		5% Or Greater Direct Ownership Interest Mar 1, 2023 100%
Operational/Managerial Control Mar 1, 2023
Hunter Nostrant
Individual 		5% Or Greater Indirect Ownership Interest
President		 Sep 11, 2024 5%
Corporate Officer
President		 Sep 1, 2024
Tricia Gorde
Individual 		Corporate Director
Director, Provider Enrollment		 Jan 20, 2025

Change-of-ownership history

DateEventCounterparty
Aug 1, 2016 Change of Ownership
This provider was the buyer		 Alpena Medical Arts PC
CCN 233900 · MI · NPI 1811992704

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20170407001517 MI Part a Provider - Rural Health Clinic 4981501939 Practice locations: Alpena, MI
O20230314000723 MI Part a Provider - Rural Health Clinic 8527969922 Practice locations: Alpena, MI

National Provider Directory

Tax ID family
Mymichigan Medical Group (8 organizations share this tax ID)

Locations (25 of 27)

160 E Warwick Dr
Ste C
Alma, MI 48801
Phone (989) 466-3621

7320 N Alger Rd
Ste G
Alma, MI 48801
Phone (989) 463-2966

2980 Wilder Rd
Bay City, MI 48706
Phone (989) 667-9510

602 Beech St
Ste 3100
Clare, MI 48617
Phone (989) 802-5020

703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000

602 Beech St
Ste 3200
Clare, MI 48617
Phone (989) 802-5035

2812 W Cadillac Dr
Farwell, MI 48622
Phone (989) 588-5050

16690 Gratiot Rd
Hemlock, MI 48626
Phone (989) 642-6262

6810 Eastman Ave
Midland, MI 48642
Phone (844) 832-1956

4401 Campus Ridge Dr
#130
Midland, MI 48640
Phone (989) 837-3385

4401 N Campus Ridge Dr
Ste D2400
Midland, MI 48640
Phone (989) 837-9250

4401 N Campus Ridge Dr
Ste C2200
Midland, MI 48640
Phone (517) 837-9008

555 W Wackerly St
Ste 600
Midland, MI 48640
Phone (989) 488-5235

4005 Orch
Midland, MI 48670
Phone (517) 839-3385

4201 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 488-5450

4401 Campus Ridge Dr
Ste LL380
Midland, MI 48640

4401 N Campus Ridge Dr
Ste C2100
Midland, MI 48640
Phone (989) 837-9033

555 W Wackerly St
Ste 2600
Midland, MI 48640
Phone (866) 625-3570

4401 N Campus Ridge Dr
Ste C2000
Midland, MI 48640
Phone (989) 837-9150

4401 N Campus Ridge Dr
Ste 2200
Midland, MI 48640
Phone (989) 832-0323

4401 N Campus Ridge Dr
Ste D2050
Midland, MI 48640
Phone (989) 837-9435

4401 N Campus Ridge Dr
Ste D2100
Midland, MI 48640
Phone (989) 837-9300

555 W Wackerly St
Ste 3625
Midland, MI 48640
Phone (989) 832-4202

4851 E Pickard St
Ste 2500
Mount Pleasant, MI 48858

200 Grand Ave
Ste B
Prudenville, MI 48651
Phone (989) 343-3229

Specialties & licenses

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

Addresses

Primary practice location

211 Long Rapids Rd
Alpena, MI 49707-1315

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000
Phone (844) 832-1956

Other names

  • MyMichigan Family Medicine Doing business as

Other providers in Alpena, MI

All providers in Alpena, MI · Rural Health Clinic/Center in Michigan

Sources for this page

Verify at the official NPI Registry.