NPIMap

Organization Active NPI

Isabella Citizens for Health Inc

Doing business as Farwell Health Center Pharmacy

  • Community/Retail Pharmacy
  • Farwell, MI
National Provider Identifier
1679304687
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ISABELLA CITIZENS FOR HEALTH INC
Doing business as
Farwell Health Center Pharmacy
Practice address
522 E Main St
Farwell, MI 48622-9118
Phone
(989) 953-5320
NPI assigned
Aug 12, 2024
Last updated
Aug 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Jennifer Lynn White
Title
Ceo
Phone
(989) 953-5191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

522 E Main St
Farwell, MI 48622-9118

Mailing address

522 E Main St
Farwell, MI 48622-9118

Other names 1

  • Farwell Health Center Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250409003231 MI Part B Supplier - Pharmacy 9335386051 Practice locations: Farwell, MI

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Isabella Citizens for Health Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Isabella Citizens for Health IncMt Pleasant, MI, CCN 231038 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 11, 2013
Women's Health Center of Isabella Citizens for Health, IncMt Pleasant, MI, CCN C71005 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

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": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1679304687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 E MAIN ST",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486229118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 E MAIN ST",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486229118",
            "telephone_number": "989-953-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISABELLA CITIZENS FOR HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-953-5191"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farwell Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farwell, MI

Sources for this page

Verify at the official NPI Registry.