Healthcare Provider Details

I. General information

NPI: 1255712873
Provider Name (Legal Business Name): STERLING AREA HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2015
Last Update Date: 02/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 W MAIN ST
HALE MI
48739-9246
US

IV. Provider business mailing address

436 W MAIN ST
HALE MI
48739-9246
US

V. Phone/Fax

Practice location:
  • Phone: 989-728-2800
  • Fax: 989-654-2348
Mailing address:
  • Phone: 989-728-2800
  • Fax: 989-728-2803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: JAMES BALTEN JR.
Title or Position: PRESIDENT & CEO
Credential:
Phone: 989-654-2491