Organization Active NPI

Forest Area Health Center, PC

  • Rural Health Clinic/Center
  • Fife Lake, MI
National Provider Identifier
1326199126
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
FOREST AREA HEALTH CENTER, PC
Practice address
113 N. Main Street
Box 221
Fife Lake, MI 49633-0221
Phone
(231) 879-4810
Fax
(231) 879-4916
NPI assigned
Jan 16, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Thabit Bahhur, MD
Title
Director
Phone
(231) 879-4810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X MI Primary

Addresses

Primary practice location

113 N. Main Street
Box 221
Fife Lake, MI 49633-0221

Mailing address

113 N. Main Street
PO Box 221
Fife Lake, MI 49633-0221
Phone (231) 879-4810

National Provider Directory

National Provider Directory

Locations

113 Main St
#221
Fife Lake, MI 49633
Phone (231) 879-4810

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326199126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N. MAIN STREET",
            "address_2": "PO BOX 221",
            "city": "FIFE LAKE",
            "state": "MI",
            "postal_code": "496330221",
            "telephone_number": "231-879-4810",
            "fax_number": "231-879-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N. MAIN STREET",
            "address_2": "BOX 221",
            "city": "FIFE LAKE",
            "state": "MI",
            "postal_code": "496330221",
            "telephone_number": "231-879-4810",
            "fax_number": "231-879-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST AREA HEALTH CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BAHHUR",
        "authorized_official_first_name": "THABIT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "231-879-4810",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fife Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.