TRAVERSE HEALTH CLINIC AND COALITION (NPI# 1407309685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407309685 |
| Entity Type | Organization |
| Organization Name | TRAVERSE HEALTH CLINIC AND COALITION |
| Other Organization Name | TRAVERSE HEALTH CLINIC |
| Practice Address |
1719 S Garfield Ave Traverse City MI 49686-4337 |
| Practice Telephone | 2319350799 |
| Mailing Telephone | 2319350799 |
| Mailing Fax Number | 2319350962 |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2017-04-07 |
| Authorized Official Name | ARLENE BRENNAN (CEO) |
| Authorized Official Telephone | 2319350799 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Traverse Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790276822 | Traverse Health Clinic and Coalition | Clinic/Center | East Fee Hall 965 Fee Road, Room A222, East Lansing, MI 48824 | 2018-05-24 |
| 1417322884 | Traverse Health Clinic and Coalition | Clinic/Center | 105 Hall St, Traverse City, MI 49684-2288 | 2015-12-10 |
| 1467632059 | Traverse Health Clinic and Coalition | Clinic/Center | 3147 Logan Valley Rd, Traverse City, MI 49684-4772 | 2007-11-12 |
| Street Address |
1719 S GARFIELD AVE |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686-4337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437155488 | Patricia Bauer | Nurse Practitioner | 1719 S Garfield Ave, Traverse City, MI 49686-4337 | 2005-06-23 |
| 1083226799 | Vicki Comnick | Social Worker | 1719 S Garfield Ave, Traverse City, MI 49686-4337 | 2020-08-24 |
| 1801361407 | Amber Ristow | Nurse Practitioner | 1719 S Garfield Ave, Traverse City, MI 49686-4337 | 2018-10-10 |
| 1396291977 | Jill Strahan | Counselor | 1719 S Garfield Ave, Unit 1, Traverse City, MI 49686-4337 | 2016-09-01 |
| 1558710343 | Toni Hernalsteen | Social Worker | 1719 S Garfield Ave, Traverse City, MI 49686-4337 | 2016-06-13 |
| 1386008654 | Karen Lowe | Nurse Practitioner | 1719 S Garfield Ave, Traverse City, MI 49686-4337 | 2016-04-12 |
| 1255702486 | Jennifer Bowling | Registered Nurse | 1719 S Garfield Ave, Traverse City, MI 49686-4337 | 2015-10-14 |
| 1447637764 | Roberta Lynn Lamont | Counselor | 1719 S Garfield Ave, Traverse City, MI 49686-4337 | 2015-05-06 |
| 1922417906 | Lou A Gamalski | Social Worker | 1719 S Garfield Ave, Traverse City, MI 49686-4337 | 2014-08-04 |
| 1497178685 | Jennifer Strange | Social Worker | 1719 S Garfield Ave, Traverse City, MI 49686-4337 | 2014-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1568011542 | Joanne Kressley | Technician | 1693 Maylane Apt. 104, Traverse City, MI 49686 | 2019-09-11 |
| 1194283846 | Pace North | PACE Provider Organization | 2325 Garfield Road N., Traverse City, MI 49686 | 2019-03-12 |
| 1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
| 1467981811 | Joan Joyce Shirilla | Social Worker | 2124 Twin Eagles Dr, Traverse City, MI 49686 | 2017-06-08 |
| 1770028763 | Rehab and Mobility Systems, LLC | Durable Medical Equipment & Medical Supplies | 707 Parsons, Traverse City, MI 49686 | 2016-12-29 |
| 1629511316 | Kaitlyn Grangood | Social Worker | 415 Munson Avenue, Ste 101, Traverse City, MI 49686 | 2016-11-29 |
| 1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1982079588 | Marsha Lynne Dallas | Counselor | 2240 South Airport Road, Traverse City, MI 49686 | 2015-12-08 |
| Find all providers in zip 49686 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417322884 | Traverse Health Clinic and Coalition | Clinic/Center | 105 Hall St, Traverse City, MI 49684-2288 | 2015-12-10 |
| 1467632059 | Traverse Health Clinic and Coalition | Clinic/Center | 3147 Logan Valley Rd, Traverse City, MI 49684-4772 | 2007-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658244 | Hackley Community Care Center Inc | Clinic/Center | 3113 Pontaluna Rd Ste A, Fruitport, MI 49415-9600 | 2020-10-30 |
| 1760080972 | Hackley Community Care Center Inc | Clinic/Center | 1420 Madison St Ste A, Muskegon, MI 49442-5251 | 2020-10-12 |
| 1831706993 | Family Medical Center of Michigan, Inc | Clinic/Center | 503 Washington St Rm 150, Monroe, MI 48161-1309 | 2020-09-23 |
| 1326654666 | Family Medical Center of Michigan,inc | Clinic/Center | 550 E Main St Ste 1001, Hudson, MI 49247-9535 | 2020-09-22 |
| 1922613975 | Hackley Community Care Center Inc | Clinic/Center | 6245 Syers Rd Ste A, Holton, MI 49425-7557 | 2020-09-15 |
| 1700400389 | Northwest Michigan Health Services, Inc. | Clinic/Center | 300 W Broadway Ave Trlr 1, Scottville, MI 49454-1019 | 2020-05-30 |
| 1679195721 | Family Medical Center of Michigan,inc | Clinic/Center | 2740 Collingwood St Ste 100, Detroit, MI 48206-1473 | 2020-05-12 |
| 1235750571 | Great Lakes Bay Health Centers | Clinic/Center | 2300 Veterans Memorial Pkwy, Saginaw, MI 48601-1268 | 2020-04-28 |
| 1053948265 | Upper Great Lakes Family Health Center | Clinic/Center | 1414 W Fair Ave Ste 242, Marquette, MI 49855-5406 | 2020-03-26 |
| 1568096923 | Grace Health, Inc. | Clinic/Center | 825 Capital Ave Ne, Battle Creek, MI 49017-5605 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
Please comment or provide details below to improve the information on TRAVERSE HEALTH CLINIC AND COALITION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.