# UPPER GREAT LAKES FAMILY HEALTH CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UPPER GREAT LAKES FAMILY HEALTH CENTER
- **Other names:** Upper Great Lakes Family Health Nursing Home Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417886193
- **Legal business name:** UPPER GREAT LAKES FAMILY HEALTH CENTER
- **Authorized official:** TREVOR HODGES (CEO)
- **Authorized official phone:** (906) 483-1846

## Contact information

- **Practice address:** 500 CAMPUS DR, HANCOCK, MI 49930-1452
- **Practice address phone:** (906) 483-1901
- **Practice address fax:** (906) 483-1909
- **Mailing address:** 500 CAMPUS DR, HANCOCK, MI 49930-1452
- **Mailing address phone:** (906) 483-1901
- **Mailing address fax:** (906) 483-1909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/18/2026
- **Last updated:** 05/18/2026
