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General NPI Number Information
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NPI Number | 1093090292
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Entity Type | Organization
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Legal Business Name | ALCONA CITIZENS FOR HEALTH, INC.
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Dates
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Enumeration Date | 10/19/2011
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 309 W LAKE ST
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City | ALPENA
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State | MI
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Zip | 49707-2216
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Country | US
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Telephone | 989-358-3998
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Fax |
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Provider Business Mailing Address
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Address Line | 1035 W WASHINGTON AVE
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City | ALPENA
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State | MI
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Zip | 49707-2929
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Country | US
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Telephone | 989-736-9815
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NANCY LEE SPENCER
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Credential |
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Telephone | 989-358-3916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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