NPIMap

Organization Active NPI

Upper Peninsula Association of Rural Health Services, Inc

  • Family Medicine Physician
  • Marquette, MI
National Provider Identifier
1740692474
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UPPER PENINSULA ASSOCIATION OF RURAL HEALTH SERVICES, INC
Practice address
220 W Washington St
Suite 430
Marquette, MI 49855-4359
Phone
(906) 228-3613
Fax
(906) 228-3656
NPI assigned
May 29, 2014
Last updated
Jun 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Ms. Donna M. Jaksic
Title
Executive Director
Phone
(906) 228-3613

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

220 W Washington St
Suite 430
Marquette, MI 49855-4359

Mailing address

220 W Washington St
Suite 430
Marquette, MI 49855-4359
Phone (906) 228-3613

National Provider Directory

National Provider Directory
Tax ID family
Uparhs Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1740692474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W WASHINGTON ST",
            "address_2": "SUITE 430",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554359",
            "telephone_number": "906-228-3613",
            "fax_number": "906-228-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W WASHINGTON ST",
            "address_2": "SUITE 430",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554359",
            "telephone_number": "906-228-3613",
            "fax_number": "906-228-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER PENINSULA ASSOCIATION OF RURAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "JAKSIC",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "906-228-3613",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.