Organization Active NPI

Northern Michigan University

  • Health Service Clinic/Center
  • Marquette, MI
National Provider Identifier
1396894200
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
NORTHERN MICHIGAN UNIVERSITY
Practice address
1401 Presque Isle Avenue
Marquette, MI 49855
Phone
(906) 227-2355
Fax
(906) 227-2332
NPI assigned
Jan 9, 2007
Organization subpart
Yes
Parent organization
NORTHERN MICHIGAN UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Authorized official

Name
Dr. Christopher J Kirkpatrick, M.D.NPI 1417153529
Title
Medical Director
Phone
(906) 227-2355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

1401 Presque Isle Avenue
Marquette, MI 49855

Mailing address

1401 Presque Isle Avenue
Marquette, MI 49855
Phone (906) 227-2355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080612000373 MI Part B Supplier - Clinic/Group Practice 7911078332 Receives reassigned benefits from 3 practitioners
Practice locations: Marquette, MI

National Provider Directory

National Provider Directory
Tax ID family
Thomas W Schacht MD3 organizations share this tax ID, including this one
Part of
Thomas W Schacht MD

Other organizations with this tax ID 2

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

Locations

1401 Presque Isle Ave
Lot 15
Marquette, MI 49855

1401 Presque Isle Ave
#15
Marquette, MI 49855
Phone (906) 227-2355

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 5

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1396894200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 PRESQUE ISLE AVENUE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-227-2355",
            "fax_number": "906-227-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PRESQUE ISLE AVENUE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-227-2355",
            "fax_number": "906-227-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MICHIGAN UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN MICHIGAN UNIVERSITY",
        "enumeration_date": "2007-01-09",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "KIRKPATRICK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "906-227-2355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.