Organization Active NPI

Huron Family Practice Center PC

  • Primary Care Clinic/Center
  • Port Huron, MI
National Provider Identifier
1326070145
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HURON FAMILY PRACTICE CENTER PC
Practice address
1225 10TH St
Huron Family Practice Center PC
Port Huron, MI 48060-5205
Phone
(810) 987-6200
Fax
(810) 987-8717
NPI assigned
Jul 6, 2006
Last updated
Feb 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Mrs. Jean Ellen Ruthven, RN
Title
Office Manager
Phone
(810) 987-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

1225 10TH St
Huron Family Practice Center PC
Port Huron, MI 48060-5205

Mailing address

1225 10TH St
Huron Family Practice Center
Port Huron, MI 48060-5205
Phone (810) 987-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051004000974 MI Part B Supplier - Clinic/Group Practice 9133154586 Receives reassigned benefits from 4 practitioners
Practice locations: Port Huron, MI

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
23D0886615Huron Family Practice Center1225 10TH Street, Port Huron, MI 48060Certificate of waiverDec 11, 2026

National Provider Directory

National Provider Directory

Locations

1225 10th St
Port Huron, MI 48060
Phone (810) 987-6200

1225 10th St
#5101
Port Huron, MI 48060

Practitioners & affiliated clinicians

Practitioners 6

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": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1326070145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 10TH ST",
            "address_2": "HURON FAMILY PRACTICE CENTER",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605205",
            "telephone_number": "810-987-6200",
            "fax_number": "810-987-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 10TH ST",
            "address_2": "HURON FAMILY PRACTICE CENTER PC",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605205",
            "telephone_number": "810-987-6200",
            "fax_number": "810-987-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURON FAMILY PRACTICE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "RUTHVEN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-987-6200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.