Active NPI
Drummond Island Family Health Care,P.C.
- Primary Care Clinic/Center
- Drummond Island, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 4704170765
- Legal business name
- DRUMMOND ISLAND FAMILY HEALTH CARE,P.C.
- Practice address
- 29745 E Channel Rd
Drummond Island, MI 49726-9699 - Phone
- (906) 493-6644
- Fax
- (906) 493-6666
- NPI assigned
- Jul 10, 2006
- Last updated
- Jan 23, 2008
- 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
- Christine Cordray, FNP-C
- Title
- Nurse Practioner
- Phone
- (906) 493-6644
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 4704170765 | MI | Primary |
Addresses
Primary practice location
29745 E Channel Rd
Drummond Island, MI 49726-9699
Mailing address
29745 E Channel Rd
Drummond Island, MI 49726-9699
Phone (906) 493-6644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0A71060 | Other | MI | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
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 |
|---|---|---|---|
| 23D0937369 | Drummond Island Family Health Care PC | Provider-performed microscopy | Nov 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
29745 E Channel Rd
Drummond Island, MI 49726
Phone (906) 493-6644
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.
-
- General Practice Physician
- Drummond Island, MI
- NPI 1114106812
-
- Family Medicine Physician
- Sault Sainte Marie, MI
- NPI 1669421756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201046400000",
"number": "1194759050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29745 E CHANNEL RD",
"city": "DRUMMOND ISLAND",
"state": "MI",
"postal_code": "497269699",
"telephone_number": "906-493-6644",
"fax_number": "906-493-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29745 E CHANNEL RD",
"city": "DRUMMOND ISLAND",
"state": "MI",
"postal_code": "497269699",
"telephone_number": "906-493-6644",
"fax_number": "906-493-6666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRUMMOND ISLAND FAMILY HEALTH CARE,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2008-01-23",
"status": "A",
"authorized_official_last_name": "CORDRAY",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "NURSE PRACTIONER",
"authorized_official_telephone_number": "906-493-6644",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MI",
"license": "4704170765",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0A71060",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Drummond Island, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.