| Upper Great Lakes Family Health Center | |
|
56720 Calumet Ave Calumet MI 49913-1967 | |
| (906) 483-1177 | |
| (906) 372-3230 |
| Full Name | Upper Great Lakes Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 56720 Calumet Ave, Calumet, Michigan |
| Authorized Official Name and Position | Trevor Hodges (CEO) |
| Authorized Official Contact | 9064831846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upper Great Lakes Family Health Center 301 Explorer St Gwinn MI 49841-2813 Ph: (906) 483-1177 | Upper Great Lakes Family Health Center 56720 Calumet Ave Calumet MI 49913-1967 Ph: (906) 483-1177 |
| NPI Number | 1114354479 |
|---|---|
| Provider Enumeration Date | 10/02/2013 |
| Last Update Date | 07/10/2025 |
| Medicare PECOS PAC ID | 1951432384 |
|---|---|
| Medicare Enrollment ID | O20140218001801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114354479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Michigan) | Primary |
Portage Physician Practices Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 56720 Calumet Ave Ste B, Calumet, MI 49913 Phone: 906-481-8952 Fax: 906-337-4049 | |
Keweenaw Holistic Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56611 Calumet Ave, Calumet, MI 49913 Phone: 906-337-1844 | |
Upper Great Lakes Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 52125 Industrial Dr, Calumet, MI 49913 Phone: 906-483-1705 Fax: 906-372-3230 |