NPIMap

Organization Active NPI

Alcona Citizens for Health, Inc

Doing business as AHC Gaylord Intermediate School

  • School Social Worker
  • Gaylord, MI
National Provider Identifier
1306395355
Registry record updated Aug 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
6801088462 Issued in MI
Legal business name
ALCONA CITIZENS FOR HEALTH, INC
Doing business as
AHC Gaylord Intermediate School
Practice address
240 E 4TH St
Gaylord, MI 49735-1233
Phone
(989) 731-0856
NPI assigned
Sep 30, 2016
Last updated
Aug 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2017

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

Authorized official

Name
Christine Baumgardner
Title
Ceo
Phone
(989) 736-8157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041S0200X 6801088462 MI Primary

Addresses

Primary practice location

240 E 4TH St
Gaylord, MI 49735-1233

Mailing address

PO Box 655
Alpena, MI 49707
Phone (989) 736-8157

Other names 1

  • AHC Gaylord Intermediate School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alcona Health Ctr43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

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

View all 42

Locations

240 E 4th St
Gaylord, MI 49735
Phone (989) 731-0856

NPI Registry JSON

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503619200000",
    "number": "1306395355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "49707",
            "telephone_number": "989-736-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E 4TH ST",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351233",
            "telephone_number": "989-731-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCONA CITIZENS FOR HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2017-08-25",
        "status": "A",
        "authorized_official_last_name": "BAUMGARDNER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-736-8157"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, School",
            "state": "MI",
            "license": "6801088462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHC Gaylord Intermediate School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; 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.