Organization
UPPER GREAT LAKES FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TREVOR HODGES (CEO)
(906) 483-1846
Entity
Organization
Contact information
Practice address
56720 CALUMET AVE, CALUMET, MI 49913-1967
(906) 483-1177
(906) 372-3230
Mailing address
135 E M35, GWINN, MI 49841-9160
(906) 483-1177
(906) 372-3230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
05/13/2026
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