Active NPI
Northwest Michigan Health Services Inc.
- Federally Qualified Health Center (FQHC)
- Ludington, MI
National Provider Identifier
1467092528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Ludington |
National Provider Directory
National Provider DirectoryLocations
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.