NPIMap

Organization Active NPI

Alcona Citizens for Health, Inc

Doing business as Alcona Health Center Pellston Services

  • Federally Qualified Health Center (FQHC)
  • Pellston, MI
National Provider Identifier
1174064869
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ALCONA CITIZENS FOR HEALTH, INC
Doing business as
Alcona Health Center Pellston Services
Practice address
421 Stimpson Dr
Unit 102
Pellston, MI 49769-8800
Phone
(989) 736-8157
NPI assigned
Mar 14, 2017
Last updated
Jan 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Nancy Lee Spencer
Title
Ceo
Phone
(989) 358-3916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

421 Stimpson Dr
Unit 102
Pellston, MI 49769-8800

Mailing address

PO Box 655
Alpena, MI 49707-0655

Other names 1

  • Alcona Health Center Pellston Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170329001723 MI Part A Provider - Federally Qualified Health Center (FQHC) 5991691958 Practice locations: Pellston, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174064869. Details of each certification follow.

Federally qualified health center certification: CCN 231109

Legal name
ALCONA CITIZENS FOR HEALTH INC
Doing business as
ALCONA HEALTH CENTER PELLSTON SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 29, 2017
Last certification
Mar 29, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 13, 2017 in MI
Enrollment address
421 Stimpson St
Unit 102
Pellston, MI 49769-8800

Other NPIs with the same Medicare PAC ID 15

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

View all 15

National Provider Directory

National Provider Directory
Tax ID family
Ahc-Petoskey Middle School42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Teri Johnson Individual Corporate OfficerBoard Member May 20, 2021
Shelley Chamberlain Individual Corporate OfficerBoard Member Apr 14, 2016
Joseph P Garber Individual Corporate OfficerBoard Member Dec 9, 2004
Carol E Lund Individual Corporate OfficerBoard Member Dec 12, 2013
Scott Korb Individual Corporate OfficerBoard Member Jan 20, 2022
Nancy Spencer Individual Corporate DirectorCeo Jan 1, 2018 100%
W-2 Managing EmployeeCeo Jan 1, 2018 100%
Carolyn N Brummund Individual Corporate OfficerBoard Member Aug 10, 2000
Gail Stimson Individual Corporate OfficerBoard Member Feb 1, 2023
Joseph a Plunkey Individual Corporate OfficerBoard Member Jan 14, 2010
Stephanie Ann Dettloff Individual Corporate OfficerBoard Member Jan 1, 2019
Richard B Sangster Individual Corporate OfficerBoard Member Feb 16, 2017
Charles Sherwin Individual Corporate OfficerBoard Member Jan 1, 2007

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1174064869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497070655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 STIMPSON DR",
            "address_2": "UNIT 102",
            "city": "PELLSTON",
            "state": "MI",
            "postal_code": "497698800",
            "telephone_number": "989-736-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCONA CITIZENS FOR HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-358-3916"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alcona Health Center Pellston Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pellston, MI

Sources for this page

Verify at the official NPI Registry.