NPIMap

Organization Active NPI

Purehealth Medical Inc

  • General Practice Physician
  • Gaylord, MI
National Provider Identifier
1396409363
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PUREHEALTH MEDICAL INC
Practice address
1723 W M 32 Ste B
Gaylord, MI 49735-9544
Phone
(248) 238-3666
NPI assigned
Oct 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Authorized official

Name
Autumn Peebles
Title
Lead Credentialing Specialist
Phone
(810) 230-0338

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

1723 W M 32 Ste B
Gaylord, MI 49735-9544

Mailing address

1723 W M 32 Ste B
Gaylord, MI 49735-9544

Other names 1

  • PUREHEALTH URGENT CARE Other name

National Provider Directory

National Provider Directory

Locations

1723 W M 32
Ste B
Gaylord, MI 49735
Phone (248) 238-3666

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1396409363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 W M 32 STE B",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 W M 32 STE B",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359544",
            "telephone_number": "248-238-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUREHEALTH MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "PEEBLES",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_title_or_position": "LEAD CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "810-230-0338"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PUREHEALTH URGENT CARE",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PUREHEALTH URGENT CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 4, 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.