Traverse Health Clinic

LBN: Traverse Health Clinic And Coalition
Traverse Health Clinic is an health care organization with primary practice located at 3147 Logan Valley Rd , Traverse City MI 49684-4772. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Traverse Health Clinic And Coalition can be contacted via phone (231) 935-0799, or through Brennan, Arlene J. via phone (231) 935-0351.

Contact Information

Primary practice address
3147 Logan Valley Rd Traverse City MI 49684-4772
Phone: (231) 935-0799
Fax: (231) 935-0962
Website:
Map and Directions
Authorized official contact:
Name: Brennan, Arlene J. MHSA
Phone: (231) 935-0351

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1467632059
LBN Legal business name Traverse Health Clinic And Coalition
DBA Doing business as Traverse Health Clinic
Authorized official Brennan, Arlene J. MHSA
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2007
Last updated Dec 11th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467632059 NPPES
Michigan MEDICAID 1265517494
Michigan MEDICAID 1972680411
Michigan MEDICAID 1255702486
Michigan MEDICAID 1437155488
Michigan MEDICAID 1841296613
Michigan MEDICAID 1760702161
Michigan MEDICAID 1619196680
Michigan MEDICAID 1669441457
Michigan MEDICAID 1891994026
Michigan MEDICAID 1730153149

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