Organization
ALCONA CITIZENS FOR HEALTH INC
Active
Other names
Rudy Barba Psychiatry Service
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY SPENCER (CEO)
(989) 358-0673
Entity
Organization
Contact information
Practice address
101 S UNION ST UNIT 101, PLYMOUTH, MI 48170
(734) 926-6605
Mailing address
PO BOX 655, ALPENA, MI 49707-0655
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326055450
—
MI
Enumeration date
02/23/2018
Last updated
05/17/2018
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