Alcona Citizens for Health, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Alpena, MI
NPI 1750159158 · NPPES record last updated Jan 12, 2026
Key facts
- NPI
- 1750159158
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- ALCONA CITIZENS FOR HEALTH, INC.
- Practice address
- 1209 US Highway 23 North
Alpena, MI 49707 - Phone
- (989) 358-3475
- Fax
- (989) 358-3775
- NPI assigned
- Dec 14, 2023
- Organization subpart
- No
Authorized official
- Name
- Nancy Spencer
- Title
- Ceo
- Phone
- (989) 358-3916
Other NPIs with the same Medicare PAC ID 15
Corporate family (same tax ID) 41
Practitioners 86
-
Mari Lee Anderson, FNP-C
-
Amanda Joann Aube, FNP
-
Nathan D. Barden, P.A.C.
-
Susan Y. Beatty-Page, P.A.C.
-
Kelci Bright, PA
-
Karolina Bulak, MD
-
Rhianna Compton, LMSW
-
Ashley Elizabeth Cook, M.D.
-
James B Cook, PA-C
-
Jeffrey Grant Costain, M.D.
-
Kristin M Denig, PA
-
Mark E Drogowski, MD
-
Monica Rae Dziesinski, PA-C
-
Alexandria Marie Evans, LCSW
-
Nicole Fall, LMSW
-
Benjamin Gould, FNP
-
Ashley Sue Granger, LMSW
-
Christian Grant, MD
-
Sarah Hainstock, NP-C
-
Garrett William Hair, PMHNP-BC
-
Marion C Hautea, M.D.
-
Ashley Ann Jonna, FNP
-
Ashley Kaatz, DO
-
Amy L Kane, F.N.P.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2294120 | Alcona Health Center Pediatrics | Certificate of waiver | Nov 19, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
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
- Corporation · Non-profit
- Incorporated
- Feb 1, 2024 in MI
- Enrollment address
- 1209 US Highway 23 N
Alpena, MI 49707-7938
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Teri Johnson |
Corporate Officer |
May 20, 2021 | |
| Shelley Chamberlain |
Corporate Officer |
Apr 14, 2016 | |
| Joseph P Garber |
Corporate Officer |
Dec 9, 2004 | |
| Scott Korb |
Corporate Officer |
Jan 20, 2022 | |
| Nancy Spencer |
Corporate Director |
Jan 1, 2018 | |
| W-2 Managing Employee |
Jan 1, 2018 | ||
| Carolyn N Brummund |
Corporate Officer |
Aug 10, 2000 | |
| Michael Erickson |
Corporate Officer |
Apr 1, 2023 | |
| Gail Stimson |
Corporate Officer |
Feb 1, 2023 | |
| Joseph a Plunkey |
Corporate Officer |
Jan 14, 2010 | |
| Stephanie Ann Dettloff |
Corporate Officer |
Jan 1, 2019 | |
| Richard B Sangster |
Corporate Officer |
Feb 16, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240308000505 | MI | Part a Provider - Federally Qualified Health Center (FQHC) | 5991691958 | Practice locations: Alpena, MI |
National Provider Directory
- Tax ID family
- Alcona Health Ctr
Locations
5340 Plymouth Rd
Ste 202
Ann Arbor, MI 48105
Phone (734) 206-2888
181 N Barlow Rd
Harrisville, MI 48740
Phone (989) 736-8716
51 N Barlow Rd
Harrisville, MI 48740
Phone (989) 736-8534
5671 N Skeel Ave
Ste 8
Oscoda, MI 48750
Phone (989) 739-2550
11897 US Highway 23 S
Ossineke, MI 49766
Phone (517) 471-2156
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
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
- Alcona Health Center Pediatrics
Other providers in Alpena, MI
- Alcona Citizens for Health, Inc.
- Alcona Citizens for Health, Inc.
- Alcona Citizens for Health, Inc.
- Alcona Citizens for Health, Inc.
- Alcona Citizens for Health, Inc.
- Alcona Citizens for Health, Inc.
- Alcona Citizens for Health, Inc.
- Alex a Tarkington DMD, PLLC
- Alisha Allen
- Morgan Kailea Allen
All providers in Alpena, MI · Federally Qualified Health Center (FQHC) in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.