| Organization Name: | AUSABLE FREE CLINIC |
| NPI Number: | 1548630460 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDREW BROOKES (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1200 E North Down River Rd Grayling |
| State: | MI US |
| Postal Code: | 497388025 |
| Phone Number: | 9893480740 |
| Fax Number: | 9893480082 |
| NPI Enumeration Date: | 10/05/2015 |
| NPI Last Update Date: | 10/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | 796521 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |