| Upper Great Lakes Family Health Center | |
|
135 East M 35 Gwinn MI 49841-9159 | |
| (906) 346-9275 | |
| (906) 372-3230 |
| Full Name | Upper Great Lakes Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 135 East M 35, Gwinn, 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) 346-9275 | Upper Great Lakes Family Health Center 135 East M 35 Gwinn MI 49841-9159 Ph: (906) 346-9275 |
| NPI Number | 1104158690 |
|---|---|
| Provider Enumeration Date | 02/08/2010 |
| Last Update Date | 07/10/2025 |
| Medicare PECOS PAC ID | 1951432384 |
|---|---|
| Medicare Enrollment ID | O20110315000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104158690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Michigan) | Primary |
Upper Great Lakes Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 E M35, Gwinn, MI 49841 Phone: 906-346-3202 | |
Catherine A Kroll, Do,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 E. M-35, Gwinn, MI 49841 Phone: 906-346-9275 | |
Upper Great Lakes Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Explorer Street, Gwinn, MI 49841 Phone: 906-346-4924 Fax: 906-372-3230 |