Traverse Health Clinic And Coalition, NPI 1417322884
Federally Qualified Health Center (FQHC) in Traverse City, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1417322884
NPI Entity Type Organization
Provider Name Traverse Health Clinic And Coalition
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 105 Hall St, Traverse City, MI, US
Provider Mailing Address 3155 Logan Valley Rd, Traverse City, MI, US, 496844772
Is Sole Proprietor? No
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Organization Official

Official Name MHSA Arlene J Brennan
Official Position CEO
Phone 231-935-0351

Primary Taxonomy

Taxonomy Code

261QF0400X

Taxonomy Name Federally Qualified Health Center (FQHC)
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description Definition to come...

Other Organization Name

Traverse Health Clinic
Doing Business As

Business Address

Traverse Health Clinic And Coalition
105 Hall St

Traverse City, MI, US

Phone: 231-935-4394
Fax: 231-935-3696

Mailing Address

Traverse Health Clinic And Coalition
3155 Logan Valley Rd
Traverse City, MI, US
ZIP 496844772
Phone: 231-935-0799
Fax: 231-935-0501

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1669441457 MI MEDICAID 05
1265517494 MI MEDICAID 05

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