NPIMap

Organization Active NPI

County of Houghton Dba Western Up Health Department

Doing business as Western U.P.District Health Department & Superior Home Nursing & Hosp

  • State or Local Public Health Clinic/Center
  • Hancock, MI
National Provider Identifier
1174651673
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
COUNTY OF HOUGHTON DBA WESTERN UP HEALTH DEPARTMENT
Doing business as
Western U.P.District Health Department & Superior Home Nursing & Hosp
Western Upper Peninsula Health Department
Practice address
540 Depot St
Hancock, MI 49930-2031
Phone
(906) 482-7382
Fax
(906) 482-9410
NPI assigned
Feb 28, 2007
Last updated
May 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Barbara Goodson
Title
Director of Ancillary Services
Phone
(906) 482-7382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X NU Primary

Addresses

Primary practice location

540 Depot St
Hancock, MI 49930-2031

Mailing address

540 Depot St
Hancock, MI 49930-2042
Phone (906) 482-7382

Other practice location 1

303 Baraga Ave
Lanse, MI 49946-1465
Phone (906) 482-7382

Other practice location 2

210 N Moore St
Bessemer, MI 49911-1057
Phone (906) 482-7382

Other practice location 3

408 Copper St
Ontonagon, MI 49953-1161
Phone (906) 482-7382

Other identifiers 1

IdentifierTypeStateIssuer
773018653MedicaidMI

Other names 2

  • Western U.P.District Health Department & Superior Home Nursing & Hosp Doing business as
  • Western Upper Peninsula Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081114000375 MI Part B Supplier - Mass Immunization (Roster Biller Only) 5092624080 Practice locations: Ontonagon, MI; Lanse, MI; Hancock, MI; Bessemer, MI
O20220127000520 MI Part B Supplier - Independent Clinical Laboratory 5092624080 Practice locations: Hancock, MI

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2028310Western Up Health Department540 Depot Street Suite 229, Hancock, MI 49930AccreditationOct 7, 2026

National Provider Directory

National Provider Directory
Tax ID family
County of Houghton11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

303 Baraga Ave
Lanse, MI 49946
Phone (906) 482-7382

Practitioners & affiliated clinicians

Practitioners 2

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1174651673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 DEPOT ST",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499302042",
            "telephone_number": "906-482-7382",
            "fax_number": "906-482-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 DEPOT ST",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499302031",
            "telephone_number": "906-482-7382",
            "fax_number": "906-482-9410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Baraga Ave",
            "address_purpose": "LOCATION",
            "city": "Lanse",
            "state": "MI",
            "postal_code": "499461465",
            "country_code": "US",
            "telephone_number": "906-482-7382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 N Moore St",
            "address_purpose": "LOCATION",
            "city": "Bessemer",
            "state": "MI",
            "postal_code": "499111057",
            "country_code": "US",
            "telephone_number": "906-482-7382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "408 Copper St",
            "address_purpose": "LOCATION",
            "city": "Ontonagon",
            "state": "MI",
            "postal_code": "499531161",
            "country_code": "US",
            "telephone_number": "906-482-7382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNTY OF HOUGHTON DBA WESTERN UP HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "GOODSON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "DIRECTOR OF ANCILLARY SERVICES",
        "authorized_official_telephone_number": "906-482-7382"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "773018653",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western U.P.District Health Department & Superior Home Nursing & Hosp",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Western Upper Peninsula Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hancock, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.