| Upper Great Lakes Family Health Center | |
|
56720 Calumet Ave Calumet MI 49913-1967 | |
| (906) 483-1177 | |
| (906) 483-1188 |
| Full Name | Upper Great Lakes Family Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 56720 Calumet Ave, Calumet, Michigan |
| Authorized Official Name and Position | Donald A Simila (CEO) |
| Authorized Official Contact | 9064831325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upper Great Lakes Family Health Center 301 Explorer St Gwinn MI 49841-2813 Ph: (906) 481-8586 | Upper Great Lakes Family Health Center 56720 Calumet Ave Calumet MI 49913-1967 Ph: (906) 483-1177 |
| NPI Number | 1396295721 |
|---|---|
| Provider Enumeration Date | 10/10/2016 |
| Last Update Date | 04/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396295721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |