| East Jordan Family Health Center | |
|
601 Bridge St East Jordan MI 49727-9383 | |
| (231) 536-2206 | |
| (231) 536-9864 |
| Full Name | East Jordan Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 601 Bridge St, East Jordan, Michigan |
| Authorized Official Name and Position | Daniel Mckinnon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2315362206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Jordan Family Health Center 601 Bridge St East Jordan MI 49727-9383 Ph: (231) 536-2206 | East Jordan Family Health Center 601 Bridge St East Jordan MI 49727-9383 Ph: (231) 536-2206 |
| NPI Number | 1114958691 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 03/04/2013 |
| Medicare PECOS PAC ID | 8325932510 |
|---|---|
| Medicare Enrollment ID | O20040210000099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114958691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Shawn M Pertunen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548266158 PECOS PAC ID: 7416851456 Enrollment ID: I20031121000441 |
| Provider Name | Albert C Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174516744 PECOS PAC ID: 1951290873 Enrollment ID: I20040311000065 |
| Provider Name | Maureen Reynolds Street |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093716052 PECOS PAC ID: 1557327038 Enrollment ID: I20041207000122 |
| Provider Name | Colleen M Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063444966 PECOS PAC ID: 1254384787 Enrollment ID: I20050224000783 |
| Provider Name | Barbara E Steinmacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619951670 PECOS PAC ID: 2163428756 Enrollment ID: I20061004000199 |
| Provider Name | Barbara J Gauger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194930552 PECOS PAC ID: 4486748431 Enrollment ID: I20070920000769 |
| Provider Name | Keith J Moody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356451942 PECOS PAC ID: 3476638479 Enrollment ID: I20080317000013 |
| Provider Name | Pascual Sevilla Moya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508801895 PECOS PAC ID: 5991885162 Enrollment ID: I20080616000497 |
| Provider Name | Arminda M Meza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215345491 PECOS PAC ID: 9133349723 Enrollment ID: I20141002001023 |
| Provider Name | Joelle Woodruff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033566591 PECOS PAC ID: 7911296355 Enrollment ID: I20160525000733 |
| Provider Name | Laurence Yung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376653352 PECOS PAC ID: 2961500640 Enrollment ID: I20160606000407 |
| Provider Name | Priyanka Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902098197 PECOS PAC ID: 8426201039 Enrollment ID: I20170217000127 |
| Provider Name | April M North |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467498808 PECOS PAC ID: 4789695594 Enrollment ID: I20171019001163 |
| Provider Name | Jennifer K Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124530449 PECOS PAC ID: 8426316530 Enrollment ID: I20171219002309 |
| Provider Name | Teri Grody |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063926277 PECOS PAC ID: 7012276843 Enrollment ID: I20180124000187 |
| Provider Name | Cynthia Ann Pepin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770930943 PECOS PAC ID: 7416217815 Enrollment ID: I20180202001875 |
| Provider Name | Michelle B Manley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720438385 PECOS PAC ID: 8426385113 Enrollment ID: I20190802001097 |
| Provider Name | Joshua Joseph Tartaglione |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841567104 PECOS PAC ID: 0143548818 Enrollment ID: I20190807002533 |
| Provider Name | Anna L Mapes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053910703 PECOS PAC ID: 4082026331 Enrollment ID: I20201210002415 |
| Provider Name | Amanda M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740773456 PECOS PAC ID: 8022412923 Enrollment ID: I20210813000583 |
| Provider Name | Anna E Lovelace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649825043 PECOS PAC ID: 6103157102 Enrollment ID: I20210921002387 |
| Provider Name | Molly A Zubal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164017125 PECOS PAC ID: 0244624799 Enrollment ID: I20220225000842 |
| Provider Name | Rebecca J Byrnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932763125 PECOS PAC ID: 4082090618 Enrollment ID: I20221004003099 |
| Provider Name | Michael James Winsten |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063608925 PECOS PAC ID: 6204125172 Enrollment ID: I20221005000224 |
| Provider Name | Kaleigh A Shepard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275104762 PECOS PAC ID: 1951773845 Enrollment ID: I20230201002714 |
Munson Healthcare Charlevoix Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Main Street, East Jordan, MI 49727 Phone: 231-547-6554 Fax: 231-547-1179 | |
East Jordan Family Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Bridge St, East Jordan, MI 49727 Phone: 231-536-2206 Fax: 231-536-9864 | |
Monarch Family Chiropractic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 306 Main St, East Jordan, MI 49727 Phone: 231-675-0733 | |
Northern Healthcare Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2057 S M 66, East Jordan, MI 49727 Phone: 231-649-7109 |