Active NPI
Whitmore Lake Health Clinic
- Internal Medicine Physician
- Whitmore Lake, MI
National Provider Identifier
1790901304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- WHITMORE LAKE HEALTH CLINIC
- Practice address
- 9690 E Mi State Road 36
Whitmore Lake, MI 48189-9703 - Phone
- (734) 449-2033
- Fax
- (734) 449-7186
- NPI assigned
- Apr 18, 2007
- Last updated
- Aug 22, 2020
- 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
- Ms. Hilda M. Ely
- Title
- Executive Director
- Phone
- (734) 449-2033
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MI | Primary |
Addresses
Primary practice location
9690 E Mi State Road 36
Whitmore Lake, MI 48189-9703
Mailing address
9690 E Mi State Road 36
PO Box 606
Whitmore Lake, MI 48189-9703
Phone (734) 449-2033
National Provider Directory
National Provider DirectoryLocations
9690 E MI State Road 36
Whitmore Lake, MI 48189
Phone (734) 449-2033
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Internal Medicine Physician
- Flint, MI
- NPI 1841391133
-
- Internal Medicine Physician
- Whitmore Lake, MI
- NPI 1962503276
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1922024124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790901304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9690 E MI STATE ROAD 36",
"address_2": "PO BOX 606",
"city": "WHITMORE LAKE",
"state": "MI",
"postal_code": "481899703",
"telephone_number": "734-449-2033",
"fax_number": "734-449-7186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9690 E MI STATE ROAD 36",
"city": "WHITMORE LAKE",
"state": "MI",
"postal_code": "481899703",
"telephone_number": "734-449-2033",
"fax_number": "734-449-7186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITMORE LAKE HEALTH CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ELY",
"authorized_official_first_name": "HILDA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "734-449-2033",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whitmore Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.