=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891085486
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALCONA CITIZENS FOR HEALTH, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/15/2011
-----------------------------------------------------
Last Update Date | 01/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 177 N BARLOW
-----------------------------------------------------
City | LINCOLN
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48742
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 989-736-9888
-----------------------------------------------------
Fax | 989-358-3777
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 655
-----------------------------------------------------
City | ALPENA
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49707-0655
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | NANCY LEE SPENCER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 989-358-3916
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 5301009550
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------