NPIMap

Organization Active NPI

Isabella Citizens for Health, Inc.

  • Family Medicine Physician
  • Alma, MI
National Provider Identifier
1962057190
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ISABELLA CITIZENS FOR HEALTH, INC.
Practice address
6265 N Luce Rd
Alma, MI 48801-1762
Phone
(989) 953-5320
NPI assigned
Aug 5, 2019
Organization subpart
Yes
Parent organization
ISABELLA CITIZENS FOR HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Lydia Rose Stevens
Title
Billing/Revenue Cycle Coordinator
Phone
(989) 779-5642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6265 N Luce Rd
Alma, MI 48801-1762

Mailing address

2790 Health Pkwy
Mt Pleasant, MI 48858-9342
Phone (989) 953-5320

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.

Locations

6265 N Luce Rd
Alma, MI 48801

Practitioners & affiliated clinicians

Practitioners 1

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": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1962057190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 HEALTH PKWY",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488589342",
            "telephone_number": "989-953-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6265 N LUCE RD",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011762",
            "telephone_number": "989-953-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISABELLA CITIZENS FOR HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ISABELLA CITIZENS FOR HEALTH, INC.",
        "enumeration_date": "2019-08-05",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "BILLING/REVENUE CYCLE COORDINATOR",
        "authorized_official_telephone_number": "989-779-5642"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.