Northeast Michigan Community Service Agency

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

NORTHEAST MICHIGAN COMMUNITY SERVICE AGENCY

Practice address

2375 Gordon Rd
Alpena, MI 49707-4627

Phone

(989) 356-3474

Fax

(989) 354-5909

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John M Swise

Title

Ceo

Phone

(989) 356-3474

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Northeast Michigan Community Service Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Northeast Michigan Community Service Agency, Inc.

  • Case Management Agency
  • Alpena, MI
  • NPI 1578707592
  NPD tax ID

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952494841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 GORDON RD",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497074627",
            "telephone_number": "989-356-3474",
            "fax_number": "989-354-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 GORDON RD",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497074627",
            "telephone_number": "989-356-3474",
            "fax_number": "989-354-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST MICHIGAN COMMUNITY SERVICE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWISE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-356-3474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4508873",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4509324",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorien L Noble, RN CDP
• North Eastern Michigan Cancer Center
• North Eastern Michigan Rehabilitation and Opportunity Center, Inc.
• Northeast Michigan Community Mental Health Authority
• Northeast Michigan Community Mental Health Authority
• Northeast Michigan Community Service Agency, Inc.
• Northeast Michigan Home Health Care
• Northeastern Michigan Cancer Center
• Northeastern Michigan Cancer Center
• Northern Foot & Ankle Centers P.C.

• Case Management Agency in Alpena, MI
• Providers in Alpena, MI by specialty
• Case Management Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.