Organization
NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY
Active
Organization
NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON LEIGH KLONOWSKI (HEALTH OFFICER)
(231) 547-7613
Entity
Organization
Contact information
Practice address
220 W GARFIELD AVE, CHARLEVOIX, MI 49720-1631
(231) 547-6523
Mailing address
220 W GARFIELD AVE, CHARLEVOIX, MI 49720-1631
(231) 547-6523
(231) 547-6238
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88146
DELTA DENTAL
—
01
—
D801110
BLUE CROSS BLUE SHIELD OF MICHIGAN
—
Enumeration date
03/22/2019
Last updated
12/03/2025
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