NPIMap

Organization Active NPI

Forest Area Health Center PC

  • Primary Care Clinic/Center
  • Fife Lake, MI
National Provider Identifier
1255503249
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
4301046404 Issued in MI
Legal business name
FOREST AREA HEALTH CENTER PC
Practice address
113 Main St
Fife Lake, MI 49633-9062
Phone
(231) 879-4810
Fax
(231) 879-4916
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Mr. Thabit M Bahhur, M.D.NPI 1952385668
Title
Medical Director
Phone
(231) 879-4810

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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 4301046404 MI Primary

Addresses

Primary practice location

113 Main St
Fife Lake, MI 49633-9062

Mailing address

113 Main St
PO Box 221
Fife Lake, MI 49633-9062
Phone (231) 879-4810

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1255503249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MAIN ST",
            "address_2": "PO BOX 221",
            "city": "FIFE LAKE",
            "state": "MI",
            "postal_code": "496339062",
            "telephone_number": "231-879-4810",
            "fax_number": "231-879-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MAIN ST",
            "city": "FIFE LAKE",
            "state": "MI",
            "postal_code": "496339062",
            "telephone_number": "231-879-4810",
            "fax_number": "231-879-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST AREA HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "BAHHUR",
        "authorized_official_first_name": "THABIT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "231-879-4810",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301046404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fife Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.