Active NPI
Alcona Citizens for Health, Inc.
Doing business as Alcona Health Center Cheboygan Campus Suite 2C
- Federally Qualified Health Center (FQHC)
- Cheboygan, MI
National Provider Identifier
1770084576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- ALCONA CITIZENS FOR HEALTH, INC.
- Doing business as
- Alcona Health Center Cheboygan Campus Suite 2C
Cheboygan CAmpus Suite 2C - Practice address
- 740 S Main St Ste 2C
Cheboygan, MI 49721-2220 - Phone
- (231) 627-7118
- NPI assigned
- Feb 27, 2018
- Last updated
- Mar 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Spencer
- Title
- Ceo
- Phone
- (231) 627-7118
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary |
Addresses
Primary practice location
740 S Main St Ste 2C
Cheboygan, MI 49721-2220
Mailing address
PO Box 655
Alpena, MI 49707-0655
Other names 2
- Alcona Health Center Cheboygan Campus Suite 2C
- Cheboygan CAmpus Suite 2C
National Provider Directory
National Provider DirectoryLocations
740 S Main St
Ste 2C
Cheboygan, MI 49721
Phone (231) 627-3002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520294400000",
"number": "1770084576",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 S MAIN ST STE 2C",
"city": "CHEBOYGAN",
"state": "MI",
"postal_code": "497212220",
"telephone_number": "231-627-7118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALCONA CITIZENS FOR HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-27",
"last_updated": "2018-03-06",
"status": "A",
"authorized_official_last_name": "SPENCER",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "231-627-7118"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Alcona Health Center Cheboygan Campus Suite 2C",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Cheboygan CAmpus Suite 2C",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cheboygan, MI
- Aces Pediatric Behavioral Health PLLC
- Stacy Agee, BCBA, LBA
- Alcona Citizens for Health, Inc (Alcona Health Center Cheboygan Campus)
- Alcona Citizens for Health, Inc. (Alcona Health Center Cheboygan Campus Suite 3A)
- Alcona Citizens for Health, Inc. (Alcona Health Center Cheboygan Campus Annex, Lincoln Bridge Plaza)
- Alcona Citizens for Health, Inc. (Alcona Health Center Cheboygan Campus Suite 2A)
- Krista S Anhalt, DO
- Holly Kristin Arrol
- Lauren L Balsei, DO
- Roderick Jay Baltzer, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.