NPIMap

Organization Active NPI

Michigan Health Clinics PC

  • Rural Health Clinic/Center
  • Bad Axe, MI
National Provider Identifier
1396554408
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MICHIGAN HEALTH CLINICS PC
Practice address
1115 S Van Dyke Rd Ste 2
Bad Axe, MI 48413-9660
Phone
(989) 341-5078
NPI assigned
Jan 3, 2025
Last updated
Jan 3, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MICHIGAN HEALTH CLINICS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Authorized official

Name
David L. StockmanNPI 1407086424
Title
Owner
Phone
(989) 459-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1115 S Van Dyke Rd Ste 2
Bad Axe, MI 48413-9660

Mailing address

1115 S Van Dyke Rd Ste 2
Bad Axe, MI 48413-9660
Phone (989) 341-5078

National Provider Directory

National Provider Directory
Tax ID family
Covenant Pathology Assoc PC5 organizations share this tax ID, including this one
Part of
Covenant Pathology Assoc PC

Other organizations with this tax ID 4

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1396554408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 S VAN DYKE RD STE 2",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484139660",
            "telephone_number": "989-341-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S VAN DYKE RD STE 2",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484139660",
            "telephone_number": "989-341-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN HEALTH CLINICS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHIGAN HEALTH CLINICS PC",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "STOCKMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-459-2300"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bad Axe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.