STERLING AREA HEALTH CENTER (NPI# 1881679645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881679645 |
| Entity Type | Organization |
| Organization Name | STERLING AREA HEALTH CENTER |
| Other Organization Name | OGEMAW CLINIC |
| Practice Address |
1827 Greenwood Rd Prescott MI 48756-8626 |
| Practice Telephone | 9898736200 |
| Practice Fax Number | 9898735563 |
| Mailing Telephone | 9898736200 |
| Mailing Fax Number | 9898735563 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2009-08-25 |
| Authorized Official Name | ROGER J. RUSHLOW (CEO) |
| Authorized Official Telephone | 9896542491 |
| Is Organization Subpart | Y |
| Parent Organization Name | STERLING AREA HEALTH CENTER |
| 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 |
|---|---|
| Ogemaw Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609244490 | Sterling Area Health Center | Clinic/Center | 335 E Houghton Ave Ste 4, West Branch, MI 48661-1127 | 2015-09-10 |
| 1255712873 | Sterling Area Health Center | Clinic/Center | 436 W Main St, Hale, MI 48739-9246 | 2015-06-10 |
| 1992879308 | Sterling Area Health Center | Counselor | 725 E State St, Sterling, MI 48659-9548 | 2006-11-17 |
| 1477538239 | Sterling Area Health Center | Clinic/Center | 725 E State St, Sterling, MI 48659-9548 | 2005-12-14 |
| 1689659450 | Sterling Area Health Center | Clinic/Center | 5095 Rifle River Trl, Alger, MI 48610-9327 | 2005-12-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STERLING AREA HEALTH CENTER | 725 East State St, Sterling, MI 48659-9548 |
| Street Address |
1827 GREENWOOD RD |
| City | PRESCOTT |
| State | MI |
| Zip Code | 48756-8626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659379915 | Antonio F Mendiola Jr. | General Practice | 1827 Greenwood Rd, Prescott, MI 48756-8626 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932571056 | Gabriel Wayne Wallace | Technician | 5208 Michiban Ave., Prescott, MI 48756 | 2015-10-28 |
| 1881622835 | Prescott Clinic P.C. | Family Medicine | 125 Washington, Prescott, MI 48756 | 2006-06-29 |
| 1568005569 | Jennifer Lynn Datzko | Nurse Practitioner | 125 N Washington St, Prescott, MI 48756-5117 | 2019-10-22 |
| 1295248508 | Prescott Clinic P.C. | Family Medicine | 125 N Washington St, Prescott, MI 48756-5117 | 2017-11-08 |
| 1407194954 | Jimmie S Ward Sr. | Physician Assistant | 125 Washington Ave, Prescott, MI 48756-5117 | 2013-01-17 |
| 1992831960 | Charles E Jessup | Family Medicine | 125 N Washington St, Prescott, MI 48756-5117 | 2007-02-26 |
| 1578626735 | Richard Steven Gaft | Emergency Medicine | 125 N Washington St, Box 114, Prescott, MI 48756-5117 | 2006-12-19 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1750319083 | Daniel Edward Greene | Chiropractor | 1818 Greenwood Rd, Prescott, MI 48756-8627 | 2006-06-28 |
| 1619477338 | Corinne Crawford | Behavior Technician | 3909 Rifle River Trl, Prescott, MI 48756-9345 | 2018-02-19 |
| Find all providers in zip 48756 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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.