Ausable Free Clinic

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

796521 Issued in MI

Legal business name

AUSABLE FREE CLINIC

Practice address

1200 E North Down River Rd
Grayling, MI 49738-8025

Phone

(989) 348-0740

Fax

(989) 348-0082

NPI assigned

Oct 5, 2015

Last updated

Oct 5, 2015By 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

Andrew Brookes, RN, BSN, CEN

Title

Executive Director

Phone

(989) 348-0740

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1548630460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E MICHIGAN AVE",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497381312",
            "telephone_number": "989-348-0740",
            "fax_number": "989-348-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E NORTH DOWN RIVER RD",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497388025",
            "telephone_number": "989-348-0740",
            "fax_number": "989-348-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSABLE FREE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "BROOKES",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "989-348-0740",
        "authorized_official_credential": "RN, BSN, CEN"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "MI",
            "license": "796521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Apothecare LLC (Grayling Pharmacy)
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• Robert A Aubry, OD
• Ausable Family Dental
• Ausable Medical Associates, PC
• Ausable Primary Care PC
• Ausable Urology, P.C.
• Robert Louis Balestrero, MD
• Jewell Barnard, MSN, WHNP, IBCLC

• Voluntary or Charitable Agency in Grayling, MI
• Providers in Grayling, MI by specialty
• Voluntary or Charitable Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.