NPIMap

Organization Active NPI

Oscoda VA Outpatient Clinic

  • Primary Care Clinic/Center
  • Oscoda, MI
National Provider Identifier
1336243740
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
4704165258 Issued in MI
Legal business name
OSCODA VA OUTPATIENT CLINIC
Practice address
5671 N Skeel Ave
Suite 4
Oscoda, MI 48750-1535
Phone
(989) 747-0026
Fax
(989) 747-0029
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alan Pawlow, MD
Title
Chief of Staff
Phone
(989) 497-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 4704165258 MI Primary

Addresses

Primary practice location

5671 N Skeel Ave
Suite 4
Oscoda, MI 48750-1535

Mailing address

5671 N Skeel Ave
Suite 4
Oscoda, MI 48750-1535
Phone (989) 747-0026

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
23D1048369Oscoda Outpatient Clinic5671 Skeel, Oscoda, MI 48750AccreditationMay 22, 2026

National Provider Directory

National Provider Directory
Tax ID family
Saginaw Vamc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

5671 N Skeel Ave
Ste 4
Oscoda, MI 48750
Phone (989) 747-0026

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336243740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5671 N SKEEL AVE",
            "address_2": "SUITE 4",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487501535",
            "telephone_number": "989-747-0026",
            "fax_number": "989-747-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5671 N SKEEL AVE",
            "address_2": "SUITE 4",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487501535",
            "telephone_number": "989-747-0026",
            "fax_number": "989-747-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCODA VA OUTPATIENT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAWLOW",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CHIEF OF STAFF",
        "authorized_official_telephone_number": "989-497-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4704165258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oscoda, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.