NPIMap

Organization Active NPI

Alcona Citizens for Health, Inc.

Doing business as Alcona Health Center Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Alpena, MI
National Provider Identifier
1750159158
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ALCONA CITIZENS FOR HEALTH, INC.
Doing business as
Alcona Health Center Pediatrics
Practice address
1209 US Highway 23 North
Alpena, MI 49707
Phone
(989) 358-3475
Fax
(989) 358-3775
NPI assigned
Dec 14, 2023
Last updated
Jan 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Nancy Spencer
Title
Ceo
Phone
(989) 358-3916

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1209 US Highway 23 North
Alpena, MI 49707

Mailing address

PO Box 655
Alpena, MI 49707-0655
Phone (989) 736-9815

Other names 1

  • Alcona Health Center Pediatrics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240308000505 MI Part A Provider - Federally Qualified Health Center (FQHC) 5991691958 Practice locations: Alpena, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750159158. Details of each certification follow.

Federally qualified health center certification: CCN C71017

Legal name
ALCONA CITIZENS FOR HEALTH INC
Doing business as
ALCONA HEALTH CENTER PEDIATRICS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 22, 2024
Last certification
Feb 22, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 1, 2024 in MI
Enrollment address
1209 US Highway 23 N
Alpena, MI 49707-7938

Other NPIs with the same Medicare PAC ID 15

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

View all 15

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
23D2294120Alcona Health Center Pediatrics1209 US 23 N, Alpena, MI 49707Certificate of waiverNov 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Alcona Health Ctr43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

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

View all 42

Locations

1209 US Highway 23 N
Alpena, MI 49707
Phone (989) 358-3475

1501 W Chisholm St
#201
Alpena, MI 49707
Phone (989) 356-5228

201 N Ripley Blvd
Alpena, MI 49707
Phone (989) 358-5993

740 S Main St
Fl 2
Cheboygan, MI 49721
Phone (231) 627-7118

181 N Barlow Rd
Harrisville, MI 48740
Phone (989) 736-8716

11897 US Highway 23 S
Ossineke, MI 49766
Phone (517) 471-2156

416 N M 129
Pickford, MI 49774
Phone (906) 647-2217

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Teri Johnson Individual Corporate OfficerBoard Member May 20, 2021
Shelley Chamberlain Individual Corporate OfficerBoard Member Apr 14, 2016
Joseph P Garber Individual Corporate OfficerBoard Member Dec 9, 2004
Scott Korb Individual Corporate OfficerBoard Member Jan 20, 2022
Nancy Spencer Individual Corporate DirectorCeo Jan 1, 2018
W-2 Managing EmployeeCeo Jan 1, 2018
Carolyn N Brummund Individual Corporate OfficerBoard Member Aug 10, 2000
Michael Erickson Individual Corporate OfficerBoard Member Apr 1, 2023
Gail Stimson Individual Corporate OfficerBoard Member Feb 1, 2023
Joseph a Plunkey Individual Corporate OfficerBoard Member Jan 14, 2010
Stephanie Ann Dettloff Individual Corporate OfficerBoard Member Jan 1, 2019
Richard B Sangster Individual Corporate OfficerBoard Member Feb 16, 2017

Practitioners & affiliated clinicians

Practitioners 71

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 71

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1750159158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497070655",
            "telephone_number": "989-736-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 US HIGHWAY 23 NORTH",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "49707",
            "telephone_number": "989-358-3475",
            "fax_number": "989-358-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCONA CITIZENS FOR HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-358-3916"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alcona Health Center Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpena, MI

Sources for this page

Verify at the official NPI Registry.