=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477538239
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STERLING AREA HEALTH CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/14/2005
-----------------------------------------------------
Last Update Date | 01/05/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 725 E STATE ST
-----------------------------------------------------
City | STERLING
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48659-9548
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 989-654-2491
-----------------------------------------------------
Fax | 989-654-2190
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 725 E STATE ST
-----------------------------------------------------
City | STERLING
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48659-9548
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 989-654-2491
-----------------------------------------------------
Fax | 989-654-2190
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | WILLIAM M. WYPYSKI JR.
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 989-654-2072
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QF0400X
-----------------------------------------------------
Taxonomy Name | Federally Qualified Health Center (FQHC)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------