Healthcare Provider Details
I. General information
NPI: 1609585991
Provider Name (Legal Business Name): STERLING AREA HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/16/2022
Last Update Date: 11/16/2022
Certification Date: 11/16/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1064 W CEDAR ST
STANDISH MI
48658-9421
US
IV. Provider business mailing address
725 E STATE ST
STERLING MI
48659-9548
US
V. Phone/Fax
- Phone: 989-654-2491
- Fax:
- Phone: 989-654-2491
- Fax: 989-654-2190
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QF0400X |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HEATHER
FLUES-HARRINGTON
Title or Position: CFO
Credential:
Phone: 989-654-2072