Organization Active NPI

Northwest Michigan Community Health Agency

  • Public Health or Welfare Agency
  • Charlevoix, MI
National Provider Identifier
1295295467
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY
Practice address
220 W Garfield Ave
Charlevoix, MI 49720-1631
Phone
(231) 547-6523
NPI assigned
Mar 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Shannon Leigh Klonowski
Title
Health Officer
Phone
(231) 547-7613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

220 W Garfield Ave
Charlevoix, MI 49720-1631

Mailing address

220 W Garfield Ave
Charlevoix, MI 49720-1631
Phone (231) 547-6523

Other practice location 1

37304 Kings Hwy
Beaver Island, MI 49782-5134
Phone (231) 448-2814

Other identifiers 2

IdentifierTypeStateIssuer
88146OtherDELTA DENTAL
D801110OtherBLUE CROSS BLUE SHIELD OF MICHIGAN

National Provider Directory

National Provider Directory
Tax ID family
Northwest Michigan Agency3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1295295467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W GARFIELD AVE",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201631",
            "telephone_number": "231-547-6523",
            "fax_number": "231-547-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W GARFIELD AVE",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201631",
            "telephone_number": "231-547-6523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37304 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Beaver Island",
            "state": "MI",
            "postal_code": "497825134",
            "country_code": "US",
            "telephone_number": "231-448-2814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "KLONOWSKI",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "231-547-7613"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "88146",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "D801110",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlevoix, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.