NPIMap

Organization Active NPI

Sterling Area Health Center

  • Federally Qualified Health Center (FQHC)
  • Prescott, MI
National Provider Identifier
1881679645
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
STERLING AREA HEALTH CENTER
Practice address
1827 Greenwood Rd
Prescott, MI 48756-8626
Phone
(989) 873-6200
Fax
(989) 873-5563
NPI assigned
Dec 14, 2005
Organization subpart
Yes
Parent organization
STERLING AREA HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Roger J. Rushlow
Title
Ceo
Phone
(989) 654-2491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1827 Greenwood Rd
Prescott, MI 48756-8626

Mailing address

1827 Greenwood Rd
Prescott, MI 48756-8626
Phone (989) 873-6200

Other names 1

  • Ogemaw Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061030000204 MI Part B Supplier - Clinic/Group Practice 3577560846 Receives reassigned benefits from 36 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Whittemore, MI; West Branch, MI; Sterling, MI; Standish, MI; Prescott, MI; Alger, MI; Hale, MI; Pinconning, MI
O20100616000850 MI Part A Provider - Federally Qualified Health Center (FQHC) 3577560846 Practice locations: Prescott, MI

Federally qualified health center certification: CCN 231861

Legal name
STERLING AREA HEALTH CENTER
Doing business as
OGEMAW CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 1, 1997
Last certification
Apr 1, 1997
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 1, 1979 in MI
Enrollment address
1827 Greenwood Rd
Prescott, MI 48756-8626

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2231473Sterling Area Health Center Ogemaw Clinic1827 E Greenwood Road, Prescott, MI 48756Certificate of waiverAug 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Sterling Area HLTH12 organizations share this tax ID, including this one
Part of
Sterling Area HLTH

Other organizations with this tax ID 11

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

Locations

415 Arthur St
Pinconning, MI 48650

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jeannette Krawczak Individual Corporate DirectorTreasurer Nov 16, 2011
Heather Flues-Harrington Individual Corporate Officer Jan 1, 2019
W-2 Managing EmployeeChief Financial Officer Jan 1, 2019
Timothy I Houghteling Individual Corporate Director Jan 1, 2019
John H Swaffield Individual Corporate OfficerChairperson Jun 2, 2010
Ronda a Switek Individual Corporate Director Jun 2, 2010
George Olson Individual Corporate OfficerCeo Jan 1, 2019
W-2 Managing EmployeeCeo Jan 1, 2019

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1881679645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 GREENWOOD RD",
            "city": "PRESCOTT",
            "state": "MI",
            "postal_code": "487568626",
            "telephone_number": "989-873-6200",
            "fax_number": "989-873-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 GREENWOOD RD",
            "city": "PRESCOTT",
            "state": "MI",
            "postal_code": "487568626",
            "telephone_number": "989-873-6200",
            "fax_number": "989-873-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING AREA HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STERLING AREA HEALTH CENTER",
        "enumeration_date": "2005-12-14",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "RUSHLOW",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-654-2491"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ogemaw Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott, MI

Sources for this page

Verify at the official NPI Registry.