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Organization
CHIPPEWA COUNTY HEALTH DEPARTMENT
Active
Organization
CHIPPEWA COUNTY HEALTH DEPARTMENT
Active
Other names
Sault High Adolescent Care Center (SHACC)
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MARIE SENKUS (HEALTH OFFICER)
(906) 253-3103
Entity
Organization
Contact information
Practice address
904 MARQUETTE AVE, ROOM 622, SAULT SAINTE MARIE, MI 49783-3301
(906) 632-5690
(906) 635-1325
Mailing address
508 ASHMUN ST STE 120, SAULT SAINTE MARIE, MI 49783-1976
(906) 635-1568
(906) 253-1466
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
6301008585
MI
261QP2300X
Primary Care Clinic/Center
4301030101
MI
261QS1000X
Student Health Clinic/Center
Primary
4301030101
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4904983
—
MI
05
—
4904992
—
MI
05
—
4905004
—
MI
05
—
4905013
—
MI
01
—
500A710530
BCBS-NP GROUP
MI
01
—
680A710440
BCBS-MENTAL HEALTH
MI
Enumeration date
04/06/2007
Last updated
02/26/2021
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