| Organization Name: | NORTHWEST MICHIGAN HEALTH SERVICES, INC. |
| NPI Number: | 1922464254 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HEIDI MAE BRITTON (CHEIF EXECUTIVE OFFICER) |
| Mailing Address: | 6051 Frankfort Hwy Benzonia |
| State: | MI US |
| Postal Code: | 496169558 |
| Phone Number: | 2319471112 |
| Fax Number: | 2319477739 |
| NPI Enumeration Date: | 12/31/2015 |
| NPI Last Update Date: | 01/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |