Organization · Type 2 NPI

Chippewa County Health Department

Student Health Clinic/Center · Sault Sainte Marie, MI

NPI number 1689796930 Active

Practice location

904 Marquette Ave, Room 622
Sault Sainte Marie, MI 49783-3301

Call (906) 632-5690 Map

Fax (906) 635-1325

Mailing address

508 Ashmun St Ste 120
Sault Sainte Marie, MI 49783-1976

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center	261QD0000X	None listed
Adolescent and Children Mental Health Clinic/Center	261QM0855X	6301008585 (MI)
Primary Care Clinic/Center	261QP2300X	4301030101 (MI)
Student Health Clinic/Center Primary	261QS1000X	4301030101 (MI)

Student Health Clinic/Center: Definition to come...

Another provider at this address

Tina M. Pountney, FNP-BCFamily Nurse Practitioner Sault Sainte Marie, MI NPI 1053323436

Other student health clinic/center providers in Sault Sainte Marie

Chippewa County Health Department ShaccStudent Health Clinic/Center Sault Sainte Marie, MI NPI 1497551576

See all in Sault Sainte Marie →

NPI record

NPI: 1689796930
Entity type: Organization (Type 2)
Issued: Apr 6, 2007
Last updated: Feb 26, 2021
Status: Active

Other names

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Sault High Adolescent Care Center (shacc) · other name
Sault High Adolescent Care Center (shacc) · other name

Authorized official

Karen Marie Senkus
Health Officer
(906) 253-3103

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 1689796930

Chippewa County Health Department's National Provider Identifier is 1689796930, issued on Apr 6, 2007. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Sault Sainte Marie, MI. The record was last updated on Feb 26, 2021.