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NPI Code Detail

MEDICARE: NORTHEAST MICHIGAN COMMUNITY MENTAL HEALTH AUTHORITY

MEDICARE: NORTHEAST MICHIGAN COMMUNITY MENTAL HEALTH AUTHORITY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
426-0-Z4-1060-0OTHERMIBLUE CROSS BLUE SHIELD OF MICHIGAN

General Provider Information

NPI Number : 1144378381
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHEAST MICHIGAN COMMUNITY MENTAL HEALTH AUTHORITY
Provider Business Mailing Address
First Line : 400 JOHNSON ST
Second Line :
City : ALPENA
State : MI
Zip : 49707-1434
Country : US
Telephone Number : 989-356-2161
Fax Number : 989-354-5898
Provider Business Practice Location Address
First Line : 400 JOHNSON ST
Second Line :
City : ALPENA
State : MI
Zip : 49707-1434
Country : US
Telephone Number : 989-356-2161
Fax Number : 989-354-5898
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. CHARLES A WHITE
Credential :
Telephone Number : 989-356-2161
Provider Enumeration Date : 01/06/2007
Last Update Date : 10/02/2008

Similar Medicare Providers

1558205146 — HOPE AMLOTTE CHW
Practice Location Address:
400 JOHNSON ST
ALPENA, MI
49707-1434
Practice Phone: 989-358-7796
Practice Fax: 989-354-5898
1255482741 — MS. RENEE ANN CURRY LMSW
Practice Location Address:
400 JOHNSON ST
ALPENA, MI
49707-1434
Practice Phone: 989-356-2161
Practice Fax: 989-354-5898
1558412056 — MS. CATHY S MESKE MSW
Practice Location Address:
400 JOHNSON ST
ALPENA, MI
49707-1434
Practice Phone: 989-356-2161
Practice Fax: 989-354-5898
1699801027 — DR. PAUL T RAJASEKHAR M.D.
Practice Location Address:
400 JOHNSON ST
ALPENA, MI
49707-1434
Practice Phone: 989-356-2161
Practice Fax:
1528195385 — MS. MARIE A MATTSON LMSW
Practice Location Address:
400 JOHNSON ST
ALPENA, MI
49707-1434
Practice Phone: 989-356-2161
Practice Fax: 989-354-5898
1255573655 — MS. NENA F SORK MSW
Practice Location Address:
400 JOHNSON ST
ALPENA, MI
49707-1434
Practice Phone: 989-356-2161
Practice Fax:

Directions to “NORTHEAST MICHIGAN COMMUNITY MENTAL HEALTH AUTHORITY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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