Organization Active NPI

Northwest Michigan Health Services Inc.

  • Federally Qualified Health Center (FQHC)
  • Ludington, MI
National Provider Identifier
1467092528
Registry record updated Jan 7, 2020
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 INC.
Practice address
920 Diana St Ste 100
Ludington, MI 49431-1987
Phone
(231) 845-6294
NPI assigned
Jan 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Authorized official

Name
Beverly Uhelski
Title
Biller
Phone
(231) 947-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

920 Diana St Ste 100
Ludington, MI 49431-1987

Mailing address

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Ludington

National Provider Directory

National Provider Directory

Locations

920 Diana St
Ste 100
Ludington, MI 49431
Phone (231) 316-1100

NPI Registry JSON

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1467092528",
    "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": "920 DIANA ST STE 100",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311987",
            "telephone_number": "231-845-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MICHIGAN HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "UHELSKI",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "BILLER",
        "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
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Ludington",
            "affiliation": "N",
            "address_1": "920 Diana Street",
            "address_2": "Suite 100",
            "city": "Ludington",
            "state": "MI",
            "country_code": "US",
            "postal_code": "49431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.