NPIMap

Organization Active NPI

Northwest Michigan Health Services

  • Federally Qualified Health Center (FQHC)
  • Manistee, MI
National Provider Identifier
1376173179
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NORTHWEST MICHIGAN HEALTH SERVICES
Practice address
525 12TH St Ofc 1
Manistee, MI 49660-2053
Phone
(231) 398-3623
NPI assigned
Jan 21, 2020
Last updated
Mar 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Heidi Britton
Title
Ceo
Phone
(231) 947-1112

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

525 12TH St Ofc 1
Manistee, MI 49660-2053

Mailing address

10767 E Traverse Hwy
Traverse City, MI 49684-6219
Phone (231) 947-1112

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Manistee

National Provider Directory

National Provider Directory
Tax ID family
Northwest Michigan Health Services Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

525 12th St
Ofc 1
Manistee, MI 49660
Phone (231) 398-3623

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1376173179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10767 E TRAVERSE HWY",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846219",
            "telephone_number": "231-947-1112",
            "fax_number": "231-947-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 12TH ST OFC 1",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496602053",
            "telephone_number": "231-398-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MICHIGAN HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "BRITTON",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-947-1112"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Manistee",
            "affiliation": "N",
            "address_1": "525 12th St Ofc 1",
            "city": "Manistee",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496602053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manistee, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.