Active NPI
Stehouwer Free Clinic
- Community Health Clinic/Center
- Cadillac, MI
National Provider Identifier
1235540501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- License
- 23D0996622
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
201 N Mitchell St
Ste L1
Cadillac, MI 49601
Phone (231) 876-6152
Interoperability endpoints
- 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.