Active NPI
Chippewa County Health Department Shacc
- Student Health Clinic/Center
- Sault Sainte Marie, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student Health Clinic/Center
- 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, 2025
- 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
- Karen Marie Senkus, MPA
- Title
- Health Officer
- Phone
- (906) 253-3103
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- State or Local Public Health Clinic/Center
- Sault Sainte Marie, MI
- NPI 1841096914
O20250910003934
National Provider Directory
National Provider Directory- Tax ID family
- Chippewa County Health Department Shacc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- State or Local Public Health Clinic/Center
- Sault Sainte Marie, MI
- NPI 1841096914
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.
-
- Family Nurse Practitioner
- Cheboygan, MI
- NPI 1174194377
-
- Family Medicine Physician
- Ann Arbor, MI
- NPI 1770693038
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
- Chippewa County Clerk
- Chippewa County Health Department
- Chippewa County Health Department
- Chippewa County Health Department
- Chippewa County Health Department
- Chippewa County War Memorial Hospital (Sault Women's Health)
- Chippewa County War Memorial Hospital
- Chippewa County War Memorial Hospital (Superior Neurology)
- Chippewa County War Memorial Hospital Inc
- Chippewa County War Memorial Hospital Inc
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.