HARBOR HALL, INC.


Address: 302 Orchard Ridge Drive, Petoskey, MI 49770
Phone: 2313475511

HARBOR HALL, INC. (NPI# 1649733148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649733148
Entity Type Organization
Organization Name HARBOR HALL, INC.
Practice Address 302 Orchard Ridge Drive
Petoskey
MI 49770
Mailing Address 704 Emmet St
Petoskey
MI 49770-2910
Practice Telephone 2313475511
Mailing Telephone 2313475511
Enumeration Date 2019-04-11
Last Update Date 2019-06-28
Authorized Official Name KAYLA JANE PENNINGTON (ASSISTANT)
Authorized Official Telephone 2313475511
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR0401X Clinic/Center
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Ambulatory Health Care Facilities
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MI SA0240037 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1962551648 Harbor Hall, Inc. Clinic/Center 704 Emmet St, Petoskey, MI 49770-2910 2007-01-10
1851865638 Harbor Hall, Inc. Counselor 2236 E Mitchell Rd, Petoskey, MI 49770-9604 2019-01-15

Office Location

Street Address 302 ORCHARD RIDGE DRIVE
City PETOSKEY
State MI
Zip Code 49770

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780231985 Olivia Michelle Seaman Pharmacist 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 2019-08-22
1053802942 Devin Hueston Dentist 231 State St Ste 3, Petoskey, MI 49770 2018-05-25
1720585037 Jacob Kenneth Tracy Counselor 410 E Lake Street, Suite 100, Petoskey, MI 49770 2018-04-12
1013424191 Timothy Robert La Gasse Nurse Practitioner 401 Connable Ave, Petoskey, MI 49770 2018-01-10
1609303676 Shauna Sue Stark Nurse Practitioner 560 W Mitchell St Ste 505, Petoskey, MI 49770 2017-05-22
1053851519 Maureen Todd Counselor 703 Emmet St, Petoskey, MI 49770 2017-03-03
1457719239 Hufford Vision & Eye Care, PC Optometrist 560 West Mitchell, Suite 214, Petoskey, MI 49770 2016-02-08
1053779439 Kaylyn Schiemann Specialist/Technologist 1980 Maxwell Rd, Petoskey, MI 49770 2016-02-01
1669839130 Stieber Pediatric Dentistry Pllc Clinic/Center 1605 Us 131 Highway, Petoskey, MI 49770 2016-01-28
1902201544 Tana J Nathe Counselor 915 Waukazoo Ave., Petoskey, MI 49770 2014-10-24
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1609425180 Wafa A Elhassan Md Pllc Clinic/Center 1905 S Haggerty Rd, Canton, MI 48188-2025 2019-09-08
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Competitor

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City PETOSKEY
Zip Code 49770

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Dataset Information

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.

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