NPIMap

Organization Active NPI

Sterling Area Health Center

  • Federally Qualified Health Center (FQHC)
  • Hale, MI
National Provider Identifier
1255712873
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
STERLING AREA HEALTH CENTER
Practice address
436 W Main St
Hale, MI 48739-9246
Phone
(989) 728-2800
Fax
(989) 654-2348
NPI assigned
Jun 10, 2015
Last updated
Feb 16, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
STERLING AREA HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Authorized official

Name
James Balten Jr.
Title
President & Ceo
Phone
(989) 654-2491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

436 W Main St
Hale, MI 48739-9246

Mailing address

436 W Main St
Hale, MI 48739-9246
Phone (989) 728-2800

Other names 1

  • Hale Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061030000204 MI Part B Supplier - Clinic/Group Practice 3577560846 Receives reassigned benefits from 36 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Whittemore, MI; West Branch, MI; Sterling, MI; Standish, MI; Prescott, MI; Alger, MI; Hale, MI; Pinconning, MI
O20150923001955 MI Part A Provider - Federally Qualified Health Center (FQHC) 3577560846 Practice locations: Hale, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255712873. Details of each certification follow.

Federally qualified health center certification: CCN 231074

Legal name
STERLING AREA HEALTH CENTER
Doing business as
HALE CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 24, 2015
Last certification
Sep 24, 2015
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Apr 1, 1979 in MI
Enrollment address
436 W Main
Hale, MI 48739-9246

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2222573Sterling Area Health Center Hale Clinic436 W Main, Hale, MI 48739Certificate of waiverApr 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Sterling Area HLTH Ctr12 organizations share this tax ID, including this one
Part of
Sterling Area HLTH Ctr

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1827 Greenwood Rd
Prescott, MI 48756
Phone (989) 873-6200

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jeannette Krawczak Individual Corporate OfficerTreasurer Nov 16, 2001
Heather Flues-Harrington Individual Corporate DirectorFinance Director Jan 1, 2019
W-2 Managing EmployeeFinance Director Jan 1, 2019
Timothy I Houghteling Individual Corporate Director Jan 1, 2019
John H Swaffield Individual Corporate OfficerChairperson Jan 1, 2019
Ronda a Switek Individual Corporate Director Jan 1, 2012
George Olson Individual Corporate OfficerCeo Jan 1, 2019

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1255712873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 W MAIN ST",
            "city": "HALE",
            "state": "MI",
            "postal_code": "487399246",
            "telephone_number": "989-728-2800",
            "fax_number": "989-728-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 W MAIN ST",
            "city": "HALE",
            "state": "MI",
            "postal_code": "487399246",
            "telephone_number": "989-728-2800",
            "fax_number": "989-654-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING AREA HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STERLING AREA HEALTH CENTER",
        "enumeration_date": "2015-06-10",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "BALTEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "989-654-2491",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hale Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hale, MI

Sources for this page

Verify at the official NPI Registry.