Organization · Type 2 NPI
Northwest Michigan Health Services
Federally Qualified Health Center (FQHC) · Manistee, MI
NPI number
1376173179
Active
Practice location
525 12th St Ofc 1
Manistee, MI 49660-2053
Mailing address
10767 E Traverse Hwy
Traverse City, MI 49684-6219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1376173179
Northwest Michigan Health Services's National Provider Identifier is 1376173179, issued on Jan 21, 2020. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Manistee, MI. The record was last updated on Mar 8, 2024.