NPIMap

Organization Active NPI

Harbor Hall, Inc.

  • Family Medicine Physician
  • Petoskey, MI
National Provider Identifier
1851865638
Registry record updated Mar 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HARBOR HALL, INC.
Practice address
302 Orchard Ridge Dr
Petoskey, MI 49770-8414
Phone
(231) 347-9880
NPI assigned
Jan 15, 2019
Last updated
Mar 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2025

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

Authorized official

Name
Patrick Michael McGinnNPI 1518188242
Title
Ceo
Phone
(231) 347-5511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

302 Orchard Ridge Dr
Petoskey, MI 49770-8414

Mailing address

704 Emmet St
Petoskey, MI 49770-2910

Other practice location 1

2236 E Mitchell Rd
Petoskey, MI 49770-9604
Phone (231) 347-9880

Other practice location 2

704 Emmet St
Petoskey, MI 49770-2910
Phone (231) 347-5511

Other practice location 3

114 Rush St
Petoskey, MI 49770-2920
Phone (231) 347-5511

Other practice location 4

520 N Main St Ste 202
Cheboygan, MI 49721-1162
Phone (231) 597-9234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200122002826 MI Part B Supplier - Clinic/Group Practice 8123453065 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Petoskey, MI; Cheboygan, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2236 E Mitchell Rd
Petoskey, MI 49770
Phone (231) 347-9880

Interoperability endpoints

  • Direct secure messaging: danielmann@petoskey.allscriptsdirect.net
  • Direct secure messaging: duanenolff@petoskey.allscriptsdirect.net
  • Direct secure messaging: martinjankowski@petoskey.allscriptsdirect.net
  • Direct secure messaging: rebeccaprice@petoskey.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742688000000",
    "number": "1851865638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 EMMET ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 ORCHARD RIDGE DR",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708414",
            "telephone_number": "231-347-9880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2236 E Mitchell Rd",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497709604",
            "country_code": "US",
            "telephone_number": "231-347-9880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "704 Emmet St",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497702910",
            "country_code": "US",
            "telephone_number": "231-347-5511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 Rush St",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497702920",
            "country_code": "US",
            "telephone_number": "231-347-5511",
            "fax_number": "231-347-5422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 N Main St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Cheboygan",
            "state": "MI",
            "postal_code": "497211162",
            "country_code": "US",
            "telephone_number": "231-597-9234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HARBOR HALL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2025-03-23",
        "certification_date": "2025-03-23",
        "status": "A",
        "authorized_official_last_name": "MCGINN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-347-5511"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.