Ice Lake Family Health Center

LBN: Upper Great Lakes Family Health Center
Ice Lake Family Health Center is an health care organization with primary practice located at 1500 W Ice Lake Road , Iron River MI 49935-8509. 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. Upper Great Lakes Family Health Center can be contacted via phone (906) 265-5378, or through Simila, Donald A via phone (906) 483-1325.

Contact Information

Primary practice address
1500 W Ice Lake Road Iron River MI 49935-8509
Phone: (906) 265-5378
Fax: (906) 265-4245
Website:
Map and Directions
Authorized official contact:
Name: Simila, Donald A
Phone: (906) 483-1325

Health care specialties

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

Profile Details

NPI number 1508289273
LBN Legal business name Upper Great Lakes Family Health Center
DBA Doing business as Ice Lake Family Health Center
Authorized official Simila, Donald A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2014
Last updated Apr 14th, 2021 - about 4 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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