NORTHWEST MICHIGAN HEALTH SERVICES, INC. (NPI# 1700400389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700400389 |
| Entity Type | Organization |
| Organization Name | NORTHWEST MICHIGAN HEALTH SERVICES, INC. |
| Practice Address |
300 W Broadway Ave Trlr 1 Scottville MI 49454-1019 |
| Mailing Address |
10767 E Traverse Hwy Traverse City MI 49684-6219 |
| Practice Telephone | 2315344061 |
| Mailing Telephone | 2319471112 |
| Enumeration Date | 2020-05-30 |
| Last Update Date | 2020-05-30 |
| Authorized Official Name | HEIDI BRITTON (CEO) |
| Authorized Official Telephone | 2319471112 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326589961 | Northwest Michigan Health Services, Inc. | Clinic/Center | 2840 Orchard Hwy, Manistee, MI 49660-9752 | 2017-03-15 |
| 1124480108 | Northwest Michigan Health Services, Inc. | Clinic/Center | 6433 8 Mile Rd, Bear Lake, MI 49614-9797 | 2016-03-28 |
| 1922464254 | Northwest Michigan Health Services, Inc. | Clinic/Center | 6051 Frankfort Hwy, Benzonia, MI 49616-9558 | 2015-12-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHWEST MICHIGAN HEALTH SERVICES, INC. | 10767 E Traverse Hwy, Traverse City, MI 49684-6219 |
| Street Address |
300 W BROADWAY AVE TRLR 1 |
| City | SCOTTVILLE |
| State | MI |
| Zip Code | 49454-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295225472 | Naomi Hyso | Nutritionist | West Shore Community College Rec Center, 3000 Stiles Rd, Scottville, MI 49454 | 2018-05-14 |
| 1790146835 | Kyle Collins | Chiropractor | 414 Us 10, Scottville, MI 49454 | 2016-03-17 |
| 1831250471 | Bruce Edwin Ritzema | Dentist | 825 W. Us-10, Scottville, MI 49454 | 2006-12-13 |
| 1952769317 | Laura Elizabeth Hall | Registered Nurse | 821 W Us Highway 10 31, Scottville, MI 49454 | 2016-02-01 |
| 1417355645 | Cherice Gannon | Registered Nurse | 107 W Broadway Ave, Scottville, MI 49454-1016 | 2014-12-22 |
| 1033527577 | Ann Genson | Counselor | 101 N Main St, Scottville, MI 49454-1042 | 2014-07-29 |
| 1619162807 | Timothy R Woltanski, M.d. P.C. | Family Medicine | 202 Thomas St, Scottville, MI 49454-1064 | 2007-09-11 |
| 1497353908 | Timothy Joseph Petipren | Registered Nurse | 205 S Columbia Ave, Scottville, MI 49454-1205 | 2020-10-16 |
| 1215373436 | Compassionate House Visits, Pllc | Family Medicine | 113 S Main St, Scottville, MI 49454-1220 | 2013-05-14 |
| 1164449070 | Nichols Drug Stores Inc | Pharmacy | 112 S Main St, Scottville, MI 49454-1221 | 2006-07-16 |
| Find all providers in zip 49454 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1336779131 | Northwest Michigan Health Services Inc. | Clinic/Center | 512 Bryant Ave., Room 23, Manistee, MI 49660-1839 | 2020-01-21 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTVILLE |
| Zip Code | 49454 |
Please comment or provide details below to improve the information on NORTHWEST MICHIGAN HEALTH SERVICES, INC..
| 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.