NPIMap

Organization Active NPI

Sterling Area Health Center

  • Federally Qualified Health Center (FQHC)
  • West Branch, MI
National Provider Identifier
1609244490
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
STERLING AREA HEALTH CENTER
Practice address
621 Court St Ste 102
West Branch, MI 48661-8768
Phone
(989) 343-9466
NPI assigned
Sep 10, 2015
Last updated
Mar 31, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
STERLING AREA HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
William Wypyski Jr.
Title
Ceo
Phone
(989) 654-2072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

621 Court St Ste 102
West Branch, MI 48661-8768

Mailing address

621 Court St Ste 102
West Branch, MI 48661-8768
Phone (989) 343-9466

Other names 1

  • West Branch Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061030000204 MI Part B Supplier - Clinic/Group Practice 3577560846 Receives reassigned benefits from 36 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Whittemore, MI; West Branch, MI; Sterling, MI; Standish, MI; Prescott, MI; Alger, MI; Hale, MI; Pinconning, MI
O20160328001111 MI Part A Provider - Federally Qualified Health Center (FQHC) 3577560846 Practice locations: West Branch, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609244490. Details of each certification follow.

Federally qualified health center certification: CCN 231092

Legal name
STERLING AREA HEALTH CENTER
Doing business as
STERLING AREA HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 28, 2016
Last certification
Mar 28, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
621 Court St
Ste 102
West Branch, MI 48661-8768

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2222574Sterling Area Health Center West Branch621 Court Street Suite 102, West Branch, MI 48661Certificate of waiverApr 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Sterling Area HLTH Ctr12 organizations share this tax ID, including this one
Part of
Sterling Area HLTH Ctr

Other organizations with this tax ID 11

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

Locations

335 E Houghton Ave
Ste 4
West Branch, MI 48661
Phone (989) 343-9466

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jeannette Krawczak Individual Corporate OfficerTreasurer Jan 1, 2019
Corporate Director Sep 20, 2006
Heather Flues-Harrington Individual Corporate DirectorFinance Director Jan 1, 2019
W-2 Managing EmployeeFinance Director Jan 1, 2019
Mary Delaat Individual Corporate OfficerVice Chairperson Jan 1, 2019
Timothy I Houghteling Individual Corporate Director Jan 1, 2019
John H Swaffield Individual Corporate OfficerChairperson Jan 1, 2019
Ronda a Switek Individual Corporate Director May 1, 2014
George Olson Individual Corporate OfficerCeo Jan 1, 2019

Practitioners & affiliated clinicians

Practitioners 3

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": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1609244490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 COURT ST STE 102",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486618768",
            "telephone_number": "989-343-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 COURT ST STE 102",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486618768",
            "telephone_number": "989-343-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING AREA HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STERLING AREA HEALTH CENTER",
        "enumeration_date": "2015-09-10",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "WYPYSKI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-654-2072",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Branch Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "West Branch Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Branch, MI

Sources for this page

Verify at the official NPI Registry.