Organization Active NPI

Chippewa County Health Department Shacc

  • Student Health Clinic/Center
  • Sault Sainte Marie, MI
National Provider Identifier
1497551576
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
CHIPPEWA COUNTY HEALTH DEPARTMENT SHACC
Practice address
904 Marquette Ave RM 622
Sault Sainte Marie, MI 49783-3301
Phone
(906) 635-1566
NPI assigned
Feb 20, 2025
Last updated
Feb 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Karen Marie Senkus, MPA
Title
Health Officer
Phone
(906) 253-3103

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Primary Care Clinic/Center 261QP2300X NU
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

904 Marquette Ave RM 622
Sault Sainte Marie, MI 49783-3301

Mailing address

508 Ashmun St Ste 120
Sault Sainte Marie, MI 49783-1976
Phone (906) 253-3103

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250910003934 MI Part B Supplier - Clinic/Group Practice 2668975293 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sault Sainte Marie, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Chippewa County Health Department Shacc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

904 Marquette Ave
Rm 622
Sault Sainte Marie, MI 49783
Phone (906) 632-5690

904 Marquette Ave
Ste 622
Sault Sainte Marie, MI 49783
Phone (906) 253-3103

Practitioners & affiliated clinicians

Practitioners 2

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": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1497551576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 ASHMUN ST STE 120",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831976",
            "telephone_number": "906-253-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 MARQUETTE AVE RM 622",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497833301",
            "telephone_number": "906-635-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIPPEWA COUNTY HEALTH DEPARTMENT SHACC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "SENKUS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "906-253-3103",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sault Sainte Marie, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.