| NPI | 1215438015 |
|---|---|
| Doing Business As | CHEBOYGAN CAMPUS SUITE 3A |
| Doing Business As | ALCONA HEALTH CENTER CHEBOYGAN CAMPUS SUITE 3A |
| Entity Type | Organization |
| Authorized Contact | NANCY SPENCER CEO 989-358-0673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-03-06 |