NPIMap

Organization Active NPI

Isabella Citizens for Health Inc

Doing business as Health Park Pharmacy

  • Community/Retail Pharmacy
  • Mt Pleasant, MI
National Provider Identifier
1942842471
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ISABELLA CITIZENS FOR HEALTH INC
Doing business as
Health Park Pharmacy
Practice address
2790 Health Parkway
Mt Pleasant, MI 48858
Phone
(989) 953-5320
Fax
(989) 772-7656
NPI assigned
Oct 16, 2019
Last updated
Jul 26, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ISABELLA CITIZENS FOR HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Jennifer Lynn White
Title
Ceo
Phone
(989) 953-5191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

2790 Health Parkway
Mt Pleasant, MI 48858

Mailing address

2790 Health Parkway
Mt Pleasant, MI 48858
Phone (989) 953-5320

Other identifiers 1

IdentifierTypeStateIssuer
1942842471MedicaidMI

Other names 1

  • Health Park Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200501001583 MI Part B Supplier - Pharmacy 9335386051 Practice locations: Mt Pleasant, MI
O20220913003688 MI DME Supplier - Pharmacy 9335386051 Practice locations: Mt Pleasant, MI

Other NPIs with the same Medicare PAC ID 4

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

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Isabella Citizens for Health Inc2790 Health Pkwy, Mt Pleasant, MI 48858-6934(989) 779-5654 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Nebulizer Equipment and/or Supplies|Diabetic Shoes and Inserts Accepts assignmentParticipating since Feb 11, 2013

National Provider Directory

National Provider Directory
Tax ID family
Isabella Citizens for Health Inc13 organizations share this tax ID, including this one
Part of
Isabella Citizens for Health Inc

Other organizations with this tax ID 12

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

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Isabella Citizens for Health IncMt Pleasant, MI, CCN 231038 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 11, 2013
Women's Health Center of Isabella Citizens for Health, IncMt Pleasant, MI, CCN C71005 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 36

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 36

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1942842471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 HEALTH PARKWAY",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-953-5320",
            "fax_number": "989-772-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 HEALTH PARKWAY",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-953-5320",
            "fax_number": "989-772-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISABELLA CITIZENS FOR HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ISABELLA CITIZENS FOR HEALTH INC",
        "enumeration_date": "2019-10-16",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-953-5191"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942842471",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.