Organization
NORTHWEST MICHIGAN HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI MAE BRITTON (CHIEF EXECUTIVE OFFICER)
(231) 947-1112
Entity
Organization
Contact information
Practice address
119 S STATE ST, SHELBY, MI 49455-1243
(231) 861-2139
Mailing address
119 S STATE ST, SHELBY, MI 49455-1243
(231) 861-2139
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
5601004803
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2930590
—
MI
05
—
2932773
—
MI
05
—
3291322
—
MI
05
—
4109046
—
MI
05
—
4109055
—
MI
05
—
4202541
—
MI
05
—
4301085193
—
MI
05
—
4410670
—
MI
05
—
4410689
—
MI
05
—
4518225
—
MI
05
—
4518234
—
MI
05
—
4704076658
—
MI
05
—
4704127539
—
MI
05
—
4704133105
—
MI
05
—
4899909
—
MI
05
—
5197132
—
MI
Enumeration date
11/07/2006
Last updated
03/08/2024
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