Organization
TRAVERSE HEALTH CLINIC AND COALITION
Active
Other names
Traverse Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARLENE J. BRENNAN MHSA (CEO)
(231) 935-0351
Entity
Organization
Contact information
Practice address
3147 LOGAN VALLEY RD, TRAVERSE CITY, MI 49684-4772
(231) 935-0799
(231) 935-0962
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
—
1255702486
—
MI
05
—
1265517494
—
MI
05
—
1437155488
—
MI
05
—
1619196680
—
MI
05
—
1669441457
—
MI
05
—
1730153149
—
MI
05
—
1760702161
—
MI
05
—
1841296613
—
MI
05
—
1891994026
—
MI
05
—
1972680411
—
MI
Enumeration date
11/12/2007
Last updated
12/11/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us