NPIMap

Organization Active NPI

Aspirus Northstar, Inc.

Doing business as Northstar Health System Genesee Street Physicians Clinic

  • Rural Health Clinic/Center
  • Iron River, MI
National Provider Identifier
1801299953
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ASPIRUS NORTHSTAR, INC.
Doing business as
Northstar Health System Genesee Street Physicians Clinic
Practice address
229 W Genesee St
Iron River, MI 49935-1438
Phone
(906) 265-5423
Fax
(906) 265-0491
NPI assigned
Oct 3, 2014
Last updated
Oct 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Authorized official

Name
Mr. Glenn Dobson
Title
Cfo
Phone
(906) 265-0436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

229 W Genesee St
Iron River, MI 49935-1438

Mailing address

1400 W Ice Lake Rd
Iron River, MI 49935-9526
Phone (906) 265-6121

Other names 1

  • Northstar Health System Genesee Street Physicians Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Iron County Comm Hospit11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1801299953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W ICE LAKE RD",
            "city": "IRON RIVER",
            "state": "MI",
            "postal_code": "499359526",
            "telephone_number": "906-265-6121",
            "fax_number": "906-265-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 W GENESEE ST",
            "city": "IRON RIVER",
            "state": "MI",
            "postal_code": "499351438",
            "telephone_number": "906-265-5423",
            "fax_number": "906-265-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRUS NORTHSTAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "DOBSON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "906-265-0436",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northstar Health System Genesee Street Physicians Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iron River, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.