NPIMap

Organization Active NPI

Sterling Area Health Center

  • Federally Qualified Health Center (FQHC)
  • Alger, MI
National Provider Identifier
1689659450
Registry record updated Apr 5, 2017
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
5095 Rifle River TRL
Alger, MI 48610-9327
Phone
(989) 873-5152
Fax
(989) 873-5913
NPI assigned
Dec 14, 2005
Last updated
Apr 5, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
STERLING AREA HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Authorized official

Name
James J Balten Jr.
Title
Ceo
Phone
(989) 654-2072

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU
Federally Qualified Health Center (FQHC) 261QF0400X MI Primary

Addresses

Primary practice location

5095 Rifle River TRL
Alger, MI 48610-9327

Mailing address

5095 Rifle River TRL
Alger, MI 48610-9327
Phone (989) 873-5152

Other names 1

  • Sterling Area Dental Center 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
O20130114000475 MI Part A Provider - Federally Qualified Health Center (FQHC) 3577560846 Practice locations: Alger, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689659450. Details of each certification follow.

Federally qualified health center certification: CCN 231002

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 1, 2013
Last certification
Mar 1, 2013
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 1, 1979 in MI
Enrollment address
5095 Rifle River Trail
Alger, MI 48610-9327

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.

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.

Ownership & related parties

All disclosed owners & managing parties 6

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 Nov 16, 2011
Heather Flues-Harrington Individual Corporate DirectorFinance Director Jan 1, 2019
W-2 Managing EmployeeFinance Director Jan 1, 2019
Timothy I Houghteling Individual Corporate Director Jan 1, 2019
John H Swaffield Individual Corporate OfficerChairperson Jan 1, 2012
Ronda a Switek Individual Corporate Director Jan 1, 2012
George Olson Individual Corporate OfficerCeo Jan 1, 2019

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1689659450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5095 RIFLE RIVER TRL",
            "city": "ALGER",
            "state": "MI",
            "postal_code": "486109327",
            "telephone_number": "989-873-5152",
            "fax_number": "989-873-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5095 RIFLE RIVER TRL",
            "city": "ALGER",
            "state": "MI",
            "postal_code": "486109327",
            "telephone_number": "989-873-5152",
            "fax_number": "989-873-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING AREA HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STERLING AREA HEALTH CENTER",
        "enumeration_date": "2005-12-14",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "BALTEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-654-2072",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling Area Dental Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alger, MI

Sources for this page

Verify at the official NPI Registry.