| Northern Lakes Community Mental Health Authority | |
|
105 Hall St Suite C Traverse City MI 49684-2288 | |
| (231) 935-3062 | |
| Not Available |
| Full Name | Northern Lakes Community Mental Health Authority |
|---|---|
| Speciality | Clinic/Center |
| Location | 105 Hall St, Traverse City, Michigan |
| Authorized Official Name and Position | Nancy Stevenson (COO) |
| Authorized Official Contact | 2319224850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Lakes Community Mental Health Authority 105 Hall St Suite C Traverse City MI 49684-2288 Ph: () - | Northern Lakes Community Mental Health Authority 105 Hall St Suite C Traverse City MI 49684-2288 Ph: (231) 935-3062 |
| NPI Number | 1417481136 |
|---|---|
| Provider Enumeration Date | 04/19/2017 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 8022921154 |
|---|---|
| Medicare Enrollment ID | O20170602002042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417481136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Alexander Irving Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912452731 PECOS PAC ID: 0749578698 Enrollment ID: I20161010002265 |
County Health Support Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Washington St, Traverse City, MI 49684 Phone: 231-922-4532 | |
Northwest Michigan Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1776 3 Mile Rd N Rm 522, Traverse City, MI 49696 Phone: 231-642-9295 | |
Best Medical Services Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 814 S Garfield Ave Ste C, Traverse City, MI 49686 Phone: 231-922-8722 Fax: 231-486-6042 | |
Munson Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1221 Sixth St Ste 208, Traverse City, MI 49684 Phone: 231-935-2045 Fax: 231-935-2046 | |
Partners In Health Of Traverse City Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3074 N Us 31 S, Traverse City, MI 49684 Phone: 231-935-0535 Fax: 231-935-0454 | |
Indigo Hospital Medicine - Traverse City, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-346-6807 Fax: 231-346-6052 | |
Bayside Doc's Urgent Care Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Munson Ave, Traverse City, MI 49686 Phone: 231-933-9150 Fax: 231-933-1553 |