Active NPI
MGH Family Health Center
Doing business as Muskegon Family Care Pharmacy
- Clinic Pharmacy
- Muskegon, MI
National Provider Identifier
1891898847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- Legal business name
- MGH FAMILY HEALTH CENTER
- Doing business as
- Muskegon Family Care Pharmacy
- Practice address
- 2201 S Getty St
Muskegon, MI 49444-1207 - Phone
- (231) 737-1706
- Fax
- (231) 737-1814
- NPI assigned
- Sep 6, 2006
- Last updated
- May 18, 2020
- Organization subpart
- Yes
- Parent organization
- MGH FAMILY HEALTH CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel Oglesby
- Title
- Executive Director/Ceo
- Phone
- (231) 739-9315
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | Primary |
Addresses
Primary practice location
2201 S Getty St
Muskegon, MI 49444-1207
Mailing address
2201 S Getty St
Muskegon, MI 49444-1207
Phone (231) 737-1706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2367349 | Medicaid | MI |
Other names 1
- MUSKEGON FAMILY CARE PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- MGH Family Health Center
- Part of
- MGH Family Health Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Muskegon Family Care
- General Practice Physician
- Muskegon, MI
- NPI 1528446549
-
dba Muskegon Family Care
- Family Medicine Physician
- Muskegon, MI
- NPI 1982974515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589760000000",
"number": "1891898847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 S GETTY ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441207",
"telephone_number": "231-737-1706",
"fax_number": "231-737-1814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 S GETTY ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441207",
"telephone_number": "231-737-1706",
"fax_number": "231-737-1814"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MGH FAMILY HEALTH CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MGH FAMILY HEALTH CENTER",
"enumeration_date": "2006-09-06",
"last_updated": "2020-05-18",
"certification_date": "2020-05-18",
"status": "A",
"authorized_official_last_name": "OGLESBY",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
"authorized_official_telephone_number": "231-739-9315",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2367349",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MUSKEGON FAMILY CARE PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MUSKEGON FAMILY CARE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.