Sault High Adolescent Care Center (Shacc)
LBN: Chippewa County Health Department
Sault High Adolescent Care Center (Shacc) is an health care organization with primary practice located at 904 Marquette Ave Room 622, Sault Sainte Marie MI 49783-3301. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Student Health. Ambulatory Health Care Facilities / Student Health is the primary health care specialty.
Chippewa County Health Department can be contacted via phone (906) 632-5690, or through Senkus, Karen Marie via phone (906) 253-3103.
Contact Information
Primary practice address
904 Marquette Ave Room 622
Sault Sainte Marie MI 49783-3301
Phone: (906) 632-5690
Fax: (906) 635-1325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | 6301008585 | Michigan |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 4301030101 | Michigan |
| Ambulatory Health Care Facilities / Student Health | 261QS1000X | 4301030101 | Michigan |
Profile Details
| NPI number | 1689796930 |
|---|---|
| LBN Legal business name | Chippewa County Health Department |
| DBA Doing business as | Sault High Adolescent Care Center (Shacc) |
| Authorized official | Senkus, Karen Marie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Feb 26th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689796930 | NPPES |
| Michigan | MEDICAID | 4905013 | |
| Michigan | MEDICAID | 4905004 | |
| Michigan | Other | 680A710440 | |
| Michigan | MEDICAID | 4904983 | |
| Michigan | Other | 500A710530 | |
| Michigan | MEDICAID | 4904992 |
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