NPIMap

Organization Active NPI

Hamilton Community Health Network Inc

  • Federally Qualified Health Center (FQHC)
  • Whitmore Lake, MI
National Provider Identifier
1750150827
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HAMILTON COMMUNITY HEALTH NETWORK INC
Practice address
10 Jennings Rd
Whitmore Lake, MI 48189-9410
Phone
(810) 406-4246
Fax
(810) 424-6029
NPI assigned
Dec 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Mr. Clarence R. Pierce
Title
Ceo
Phone
(810) 406-4912

Specialties & licenses 1

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

Addresses

Primary practice location

10 Jennings Rd
Whitmore Lake, MI 48189-9410

Mailing address

225 E 5TH St Ste 300
Flint, MI 48502-1641
Phone (810) 424-4246

Other names 1

  • Hamilton Whitmore Lake Clinic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240417003079 MI Part A Provider - Federally Qualified Health Center (FQHC) 1254249196 Practice locations: Whitmore Lake, MI

Federally qualified health center certification: CCN C71025

Legal name
HAMILTON COMMUNITY HEALTH NETWORK INC
Doing business as
HAMILTON COMMUNITY HEALTH NETWORK, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 1, 2024
Last certification
May 1, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 2, 1982 in MI
Enrollment address
10 Jennings Rd
Whitmore Lake, MI 48189-9410

Other NPIs with the same Medicare PAC ID 9

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

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
23D2297324Hamilton Community Health Network -10 Jennings Road, Whitmore Lake, MI 48189Certificate of waiverJan 15, 2028

National Provider Directory

National Provider Directory
Tax ID family
Hamilton Community Health Network Inc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Hamilton Community Health Network Inc Organization, Flint, MI Non-profit Operational/Managerial Control Apr 1, 2024
Clarence R. Pierce Individual Corporate OfficerCeo May 30, 2006
W-2 Managing Employee May 30, 2006
Operational/Managerial ControlCeo May 30, 2006

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Hamilton Community Health Network IncFlint, MI, CCN 231167 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1983
Hamilton Community Health Network IncBurton, MI, CCN C71046 Federally qualified health center Operational/Managerial Control Aug 10, 2025

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1750150827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 5TH ST STE 300",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021641",
            "telephone_number": "810-424-4246",
            "fax_number": "810-424-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 JENNINGS RD",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481899410",
            "telephone_number": "810-406-4246",
            "fax_number": "810-424-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON COMMUNITY HEALTH NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "810-406-4912",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "Hamilton Whitmore Lake Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Whitmore Lake, MI

Sources for this page

Verify at the official NPI Registry.