Organization Active NPI

Stehouwer Free Clinic

  • Community Health Clinic/Center
  • Cadillac, MI
National Provider Identifier
1235540501
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
23D0996622 Issued in MI
Legal business name
STEHOUWER FREE CLINIC
Practice address
201 N Mitchell St
L-1
Cadillac, MI 49601-1859
Phone
(231) 876-6152
Fax
(231) 779-9829
NPI assigned
May 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Authorized official

Name
Michelle Payne
Title
Executive Director
Phone
(231) 876-6152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 23D0996622 MI Primary

Addresses

Primary practice location

201 N Mitchell St
L-1
Cadillac, MI 49601-1859

Mailing address

201 N Mitchell St
L-1
Cadillac, MI 49601-1859
Phone (231) 876-6152

National Provider Directory

National Provider Directory

Locations

201 N Mitchell St
Ste L1
Cadillac, MI 49601
Phone (231) 876-6152

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26176/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1235540501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MITCHELL ST",
            "address_2": "L-1",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496011859",
            "telephone_number": "231-876-6152",
            "fax_number": "231-779-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MITCHELL ST",
            "address_2": "L-1",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496011859",
            "telephone_number": "231-876-6152",
            "fax_number": "231-779-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEHOUWER FREE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "231-876-6152"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MI",
            "license": "23D0996622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.