Alcona Citizens for Health, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Indian River, MI
NPI 1831567643 · NPPES record last updated Jan 12, 2026
Key facts
- NPI
- 1831567643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- ALCONA CITIZENS FOR HEALTH, INC
- Practice address
- 6135 Cressy St
Indian River, MI 49749 - Phone
- (231) 238-8908
- NPI assigned
- Sep 10, 2015
- Organization subpart
- No
Authorized official
- Name
- Nancy Spencer
- Title
- Ceo
- Phone
- (989) 358-0673
Other NPIs with the same Medicare PAC ID 15
Corporate family (same tax ID) 41
Practitioners 65
-
Mari Lee Anderson, FNP-C
-
Amanda Joann Aube, FNP
-
Rudy A Barba, M.D.
-
Nathan D. Barden, P.A.C.
-
Hasan Basheera, MD
-
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.
-
James L Counsellor, MA, LPC
-
Kristin M Denig, PA
-
Mark E Drogowski, MD
-
Monica Rae Dziesinski, PA-C
-
Andrea Kristen Eby, FNP-BC
-
Alexandria Marie Evans, LCSW
-
John K Everett, D.O.
-
Nicole Fall, LMSW
-
Charlie Murphy Gantt, NP, AGPRN, PMHNP
-
Benjamin Gould, FNP
-
Ashley Sue Granger, LMSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
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
- Corporation · Non-profit
- Incorporated
- Jul 19, 1972 in MI
- Enrollment address
- 6135 Cressy St
Indian River, MI 49749-5151
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 |
Oct 1, 2015 | |
| Carol E Lund |
Corporate Officer |
Oct 1, 2015 | |
| Nancy Spencer |
Contracted Managing Employee |
Jan 1, 2018 | 100% |
| Corporate Director |
Jan 1, 2018 | 100% | |
| Deborah Miller |
Corporate Officer |
Feb 16, 2017 | |
| Carolyn N Brummund |
Corporate Officer |
Oct 1, 2015 | |
| Joseph a Plunkey |
Corporate Officer |
Oct 1, 2015 | |
| Stephanie Ann Dettloff |
Corporate Officer |
Jan 1, 2019 | |
| Richard B Sangster |
Corporate Officer |
Feb 16, 2017 | |
| Charles Sherwin |
Corporate Officer |
Oct 1, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151106000446 | MI | Part a Provider - Federally Qualified Health Center (FQHC) | 5991691958 | Practice locations: Indian River, MI |
National Provider Directory
- Tax ID family
- Alcona Health Ctr
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
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
- Indian River Medical Center
Other providers in Indian River, MI
- Jennifer Ann Andrew I
- Kylie Judith Arsenault
- Jennifer A Atkins
- Robin L Batchelor
- Marjorie Lee Beigle
All providers in Indian River, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.