Alcona Citizens for Health Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

ALCONA CITIZENS FOR HEALTH INC

Doing business as

Rudy Barba Psychiatry Service

Practice address

101 S Union St Unit 101
Plymouth, MI 48170

Phone

(734) 926-6605

NPI assigned

Feb 23, 2018

Last updated

May 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy Spencer

Title

Ceo

Phone

(989) 358-0673

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rudy Barba Psychiatry Service Doing business as

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1528569787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497070655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S UNION ST UNIT 101",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "48170",
            "telephone_number": "734-926-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCONA CITIZENS FOR HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-358-0673"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326055450",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rudy Barba Psychiatry Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Al'Naanah
• Rafic M Alaouie, DC
• Beth Albano, OTRL, CBIS
• Zeinab Albugalal
• Martha Danielle Alcantar-Lopez
• Briana Alcorta
• David Allen Aldrich, D.D.S.
• Hannah Aldridge
• Alexis Alexander
• Jason Alexander

• Federally Qualified Health Center (FQHC) in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Federally Qualified Health Center (FQHC) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.