Organization
TRAVERSE HEALTH CLINIC AND COALITION
Active
Other names
Traverse Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ARLENE J BRENNAN MHSA (CEO)
(231) 935-0351
Entity
Organization
Contact information
Practice address
105 HALL ST, TRAVERSE CITY, MI 49684-2288
(231) 935-4394
(231) 935-3696
Mailing address
3155 LOGAN VALLEY RD, TRAVERSE CITY, MI 49684-4772
(231) 935-0799
(231) 935-0501
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265517494
—
MI
05
—
1669441457
—
MI
Enumeration date
12/10/2015
Last updated
01/28/2016
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