Upper Great Lakes Family Health

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

UPPER GREAT LAKES FAMILY HEALTH

Practice address

921 W Sharon Ave
Houghton, MI 49931-1921

Phone

(906) 346-9667

Fax

(906) 346-9113

NPI assigned

Oct 2, 2013

Last updated

Oct 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Wendy Rautio

Title

Financial Manager

Phone

(906) 346-3202

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1255768529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E M35",
            "city": "GWINN",
            "state": "MI",
            "postal_code": "498419160",
            "telephone_number": "906-346-9668",
            "fax_number": "906-346-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 W SHARON AVE",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311921",
            "telephone_number": "906-346-9667",
            "fax_number": "906-346-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER GREAT LAKES FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "RAUTIO",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "906-346-3202",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Nichole Tienhaara, RN
• Douglas P Tozier
• Julie Tufte, LMT, CCHT, RM/T
• Brittany Lynn Turner
• Unite Up (unite Mental Health and Wellness)
• Upper Great Lakes Family Health Center (Upper Great Lakes Family Health Pharmacy Houghton)
• Upper Great Lakes Family Health Center (Houghton Family Health Center)
• Upper Peninsula Audiology Inc.
• Lowell M Vantassel, PT
• Wendy Wambaugh Vanvalkenburg, R.N.

• Federally Qualified Health Center (FQHC) in Houghton, MI
• Providers in Houghton, MI by specialty
• Federally Qualified Health Center (FQHC) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.