Active NPI
Northwest Michigan Community Health Agency
Doing business as Health Department of Northwest Michigan
- Public Health or Welfare Agency
- Charlevoix, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY
- Doing business as
- Health Department of Northwest Michigan
- Practice address
- 220 W Garfield Ave
Charlevoix, MI 49720-1631 - Phone
- (231) 547-6523
- Fax
- (231) 547-6238
- NPI assigned
- Aug 1, 2006
- Last updated
- Dec 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shannon Leigh Klonowski
- Title
- Health Officer
- Phone
- (231) 547-7613
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | MI | Primary | |
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | NU |
Addresses
Primary practice location
220 W Garfield Ave
Charlevoix, MI 49720-1631
Mailing address
220 W Garfield Ave
Charlevoix, MI 49720-1631
Phone (231) 547-6523
Other names 1
- Health Department of Northwest Michigan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110114000143 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 2668509159 | Practice locations: Gaylord, MI; Harbor Springs, MI; Charlevoix, MI; Bellaire, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2027697 | Health Department of Northwest Michigan | Provider-performed microscopy | Feb 1, 2028 |
National Provider Directory
National Provider DirectoryLocations
800 State St
Harbor Springs, MI 49740
Phone (231) 526-4734
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Clinical Social Worker
- Charlevoix, MI
- NPI 1801637178
-
- Clinical Social Worker
- Harbor Springs, MI
- NPI 1699536813
-
- Clinical Social Worker
- Harbor Springs, MI
- NPI 1780285106
-
- Professional Counselor
- Brutus, MI
- NPI 1457678690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764720000000",
"number": "1932116191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 W GARFIELD AVE",
"city": "CHARLEVOIX",
"state": "MI",
"postal_code": "497201631",
"telephone_number": "231-547-6523",
"fax_number": "231-547-6238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 W GARFIELD AVE",
"city": "CHARLEVOIX",
"state": "MI",
"postal_code": "497201631",
"telephone_number": "231-547-6523",
"fax_number": "231-547-6238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-01",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A",
"authorized_official_last_name": "KLONOWSKI",
"authorized_official_first_name": "SHANNON",
"authorized_official_middle_name": "LEIGH",
"authorized_official_title_or_position": "HEALTH OFFICER",
"authorized_official_telephone_number": "231-547-7613"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "MI",
"license": null,
"primary": true
},
{
"code": "261QF0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Family Planning, Non-Surgical",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Health Department of Northwest Michigan",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Health Department of Northwest Michigan",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charlevoix, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.