Organization Active NPI

Fairview Clinic PLC

  • Rural Health Clinic/Center
  • Fairview, MI
National Provider Identifier
1174776207
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
FAIRVIEW CLINIC PLC
Practice address
1910 E Miller Rd
Fairview, MI 48621-8731
Phone
(989) 848-5644
Fax
(989) 848-7411
NPI assigned
Nov 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Authorized official

Name
Cheryl Henry
Title
FNP-BC
Phone
(989) 848-5644

Specialties & licenses 1

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

Addresses

Primary practice location

1910 E Miller Rd
Fairview, MI 48621-8731

Mailing address

1910 E Miller Rd
Fairview, MI 48621-8731
Phone (989) 848-5644

National Provider Directory

National Provider Directory

Locations

1392 Maple Dr
Fairview, MI 48621
Phone (989) 848-5644

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1174776207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 E MILLER RD",
            "city": "FAIRVIEW",
            "state": "MI",
            "postal_code": "486218731",
            "telephone_number": "989-848-5644",
            "fax_number": "989-848-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 E MILLER RD",
            "city": "FAIRVIEW",
            "state": "MI",
            "postal_code": "486218731",
            "telephone_number": "989-848-5644",
            "fax_number": "989-848-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW CLINIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "FNP-BC",
        "authorized_official_telephone_number": "989-848-5644"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.