Organization
TRAVERSE HEALTH CLINIC AND COALITION
Active
Organization
TRAVERSE HEALTH CLINIC AND COALITION
Active
Other names
Traverse Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY KANDOW (CEO)
(231) 935-0799
Entity
Organization
Contact information
Practice address
1719 S GARFIELD AVE, TRAVERSE CITY, MI 49686-4337
(231) 935-0799
Mailing address
1719 S GARFIELD AVE, TRAVERSE CITY, MI 49686-4337
(231) 935-0799
(231) 935-0962
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/25/2016
Last updated
11/21/2023
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