Organization · Type 2 NPI

Upper Great Lakes Family Health Center

Federally Qualified Health Center (FQHC) · Laurium, MI

NPI number 1114788619 Active

Practice location

730 Lake Linden Ave
Laurium, MI 49913-2614

Call (906) 483-1177 Map

Fax (906) 372-3230

Mailing address

135 E M35
Gwinn, MI 49841-9160

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1114788619
Entity type: Organization (Type 2)
Issued: Jan 22, 2024
Last updated: May 13, 2026
Status: Active

Other names

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Upper Great Lakes Family Health Mobile Unit 1 · doing business as
Upper Great Lakes Family Health Mobile Unit 1 · doing business as

Authorized official

Trevor Hodges
CEO
(906) 483-1846

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114788619

Upper Great Lakes Family Health Center's National Provider Identifier is 1114788619, issued on Jan 22, 2024. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Laurium, MI. The record was last updated on May 13, 2026.