NPIMap

Organization Active NPI

Alcona Citizens for Health, Inc

Doing business as Indian River Medical Center

  • Federally Qualified Health Center (FQHC)
  • Indian River, MI
National Provider Identifier
1831567643
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
Indian River Medical Center
Practice address
6135 Cressy St
Indian River, MI 49749
Phone
(231) 238-8908
NPI assigned
Sep 10, 2015
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) 358-0673

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

6135 Cressy St
Indian River, MI 49749

Mailing address

6135 Cressy St
Indian River, MI 49749-5151
Phone (231) 238-8908

Other names 1

  • Indian River Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151106000446 MI Part A Provider - Federally Qualified Health Center (FQHC) 5991691958 Practice locations: Indian River, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831567643. Details of each certification follow.

Federally qualified health center certification: CCN 231082

Legal name
ALCONA CITIZENS FOR HEALTH INC
Doing business as
INDIAN RIVER MEDICAL CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 12, 2015
Last certification
Nov 12, 2015
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jul 19, 1972 in MI
Enrollment address
6135 Cressy St
Indian River, MI 49749-5151

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

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

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 Oct 1, 2015
Carol E Lund Individual Corporate OfficerBoard Member Oct 1, 2015
Nancy Spencer Individual Contracted Managing EmployeeCeo Jan 1, 2018 100%
Corporate DirectorCeo Jan 1, 2018 100%
Deborah Miller Individual Corporate OfficerBoard Member Feb 16, 2017
Carolyn N Brummund Individual Corporate OfficerBoard Member Oct 1, 2015
Joseph a Plunkey Individual Corporate OfficerBoard Member Oct 1, 2015
Stephanie Ann Dettloff Individual Corporate OfficerBoard Member Jan 1, 2019
Richard B Sangster Individual Corporate OfficerBoard Member Feb 16, 2017
Charles Sherwin Individual Corporate OfficerBoard Member Oct 1, 2015

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1831567643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 CRESSY ST",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497495151",
            "telephone_number": "231-238-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 CRESSY ST",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "49749",
            "telephone_number": "231-238-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCONA CITIZENS FOR HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "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": "989-358-0673"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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": "Indian River Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indian River, MI

Sources for this page

Verify at the official NPI Registry.