Traverse Health Clinic

LBN: Traverse Health Clinic And Coalition
Traverse Health Clinic is an health care organization with primary practice located at 105 Hall St , Traverse City MI 49684-2288. 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) 935-4394, or through Brennan, Arlene J via phone (231) 935-0351.

Contact Information

Primary practice address
105 Hall St Traverse City MI 49684-2288
Phone: (231) 935-4394
Fax: (231) 935-3696
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 1417322884
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 Dec 10th, 2015
Last updated Jan 28th, 2016 - about 10 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 1417322884 NPPES
Michigan MEDICAID 1669441457
Michigan MEDICAID 1265517494

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