| Organization Name: | NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY |
| NPI Number: | 1164670949 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY J WILLIAMS (REIMBURSEMENT COORDINATOR) |
| Mailing Address: | 220 W Garfield Street Charlevoix |
| State: | MI US |
| Postal Code: | 49720 |
| Phone Number: | 2315476523 |
| Fax Number: | 2315476235 |
| NPI Enumeration Date: | 09/04/2008 |
| NPI Last Update Date: | 09/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 153515 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |