Active NPI
Healthstat on-Site Clinic/Unified Michigan
Doing business as Weidman Health and Wellness Center
- Preventive Medicine/Occupational Environmental Medicine Physician
- Weidman, MI
National Provider Identifier
1174944953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- Legal business name
- HEALTHSTAT ON-SITE CLINIC/UNIFIED MICHIGAN
- Doing business as
- Weidman Health and Wellness Center
- Practice address
- 520 S. Coldwater Rd.
Weidman, MI 48893 - Phone
- (989) 644-3331
- NPI assigned
- Dec 23, 2013
- Last updated
- Dec 23, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Warren Hutton
- Title
- Coo
- Phone
- (704) 529-6161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | NU | Primary |
Addresses
Primary practice location
520 S. Coldwater Rd.
Weidman, MI 48893
Mailing address
4651 Charlotte Park Dr
Suite 300
Charlotte, NC 28217-1956
Other names 1
- Weidman Health and Wellness Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2008488 | Healthstat on Site Clinic Unified Brands | Certificate of waiver | Jun 10, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Healthstat Onsite Clinic Parkdale Plant 16
Organizations with this tax ID in the same state 3
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Coleman, MI
- NPI 1770194375
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Mussey, MI
- NPI 1619494762
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Hastings, MI
- NPI 1205189909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387756800000",
"number": "1174944953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4651 CHARLOTTE PARK DR",
"address_2": "SUITE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282171956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S. COLDWATER RD.",
"city": "WEIDMAN",
"state": "MI",
"postal_code": "48893",
"telephone_number": "989-644-3331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHSTAT ON-SITE CLINIC/UNIFIED MICHIGAN",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-23",
"last_updated": "2013-12-23",
"status": "A",
"authorized_official_last_name": "HUTTON",
"authorized_official_first_name": "WARREN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "704-529-6161"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Weidman Health and Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Weidman, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.