ALCONA HEALTH CENTER PETOSKEY CHILD HEALTH ASSOCIATES
NPI 1275079725
Pediatrics in Petoskey, MI

NPI Status: Active since January 09, 2017

Contact Information

2390 MITCHELL PARK DR
SUITE A
PETOSKEY, MI
ZIP 49770
Phone: (231) 487-2250
Fax: (231) 348-7972

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  • Organization
  • Pediatrics
  • Accepts Insurance
  • CLIA Number: 23D0966757
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 10-25-2025

About ALCONA HEALTH CENTER PETOSKEY CHILD HEALTH ASSOCIATES

This page provides the complete NPI Profile along with additional information for Alcona Health Center Petoskey Child Health Associates, a pediatrician established in Petoskey, Michigan operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1275079725 assigned on January 2017. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Alcona Health Center Petoskey Child Health Associates operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Alcona Health Center Petoskey Child Health Associates. The authorized official of this NPI record is Christine Baumgarder (Ceo)

NPI
1275079725
Provider Legal Name
ALCONA CITIZENS FOR HEALTH, INC.
Other Organization Name
ALCONA HEALTH CENTER PETOSKEY CHILD HEALTH ASSOCIATES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2390 MITCHELL PARK DR SUITE A PETOSKEY, MI 49770
Location Phone
(231) 487-2250
Location Fax
(231) 348-7972
Mailing Address
177 N BARLOW RD HARRISVILLE, MI 48740
Mailing Phone
(989) 736-8157
Mailing Fax
(231) 348-7972
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-09-2017
Last Update Date
01-09-2017
Code Navigator

A pediatrician like Alcona Health Center Petoskey Child Health Associates is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Local HMO Bronze Extra - HMO
  • Blue Cross� Local HMO Bronze Secure - HMO
  • Blue Cross� Local HMO Silver Extra - HMO
  • Blue Cross� Local HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • MHP Bronze - HMO
  • MHP Bronze Saver (Expanded) - HMO
  • MHP Expanded Bronze Standard - HMO
  • MHP Gold - HMO
  • MHP Gold Standard - HMO
  • MHP Silver Exchange - HMO
  • MHP Silver Exchange Rewards - HMO
  • MHP Silver Standard - HMO
  • MHP Young Adult/Catastrophic - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTINE BAUMGARDER

Authorized Official Title
CEO
Authorized Official Phone
(989) 736-8157

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D0966757
Facility Type
Federally Qualified Health Center
Certificate Effective Date
October 26, 2023
Certificate Expiration Date
October 25, 2025
Laboratory Director
JOHN C. MACMASTER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Alcona Health Center Petoskey Child Health Associates to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for ALCONA HEALTH CENTER PETOSKEY CHILD HEALTH ASSOCIATES

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275079725
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22145071874
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 0 + 7 + 1 + 8 + 7 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1275079725 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780666487DR. GARY LEE FUCHS MD
Individual
Pain Medicine (Interventional Pain Medicine)2390 MITCHELL PARK DR STE B
PETOSKEY, MI 49770
(231) 487-4650
1366495285 BRAD E VAZALES M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)2390 MITCHELL PARK DR SUITE B
PETOSKEY, MI 49770
(231) 487-9090
1346283116GREAT LAKES CARDIOTHORACIC & VASCULAR SURGERY PLLC
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)2390 MITCHELL PARK DR SUITE B
PETOSKEY, MI 49770
(231) 487-9090
1710063995 JAMES GRACY PA
Individual
Physician Assistant2390 MITCHELL PARK DR SUITE B
PETOSKEY, MI 49770
(231) 487-9090
1497812010 R D FERGUSON DO, PC
Individual
Family Medicine2390 MITCHELL PARK DR UNIT C
PETOSKEY, MI 49770
(231) 348-1968
1417136425R D FERGUSON DO, PC
Organization
Family Medicine2390 MITCHELL PARK DR UNIT C
PETOSKEY, MI 49770
(231) 348-1968
1922076777DR. DANIEL J VERBURG MD
Individual
Obstetrics & Gynecology2390 MITCHELL PARK DR UNIT D
PETOSKEY, MI 49770
(231) 487-9355
1023481850MS. SARAH ANN BROSCHART RDN
Individual
Dietitian, Registered2390 MITCHELL PARK DR
PETOSKEY, MI 49770
(231) 487-5569
1487601548DR. MARLA M SIGNS D.O.
Individual
Pediatrics2390 MITCHELL PARK DR SUITE A
PETOSKEY, MI 49770
(231) 487-2250
1902999550M. ELIZABETH SWENOR, DO, PC
Organization
Family Medicine2390 MITCHELL PARK DR UNIT D
PETOSKEY, MI 49770
(231) 487-9355
1336234491PETOSKEY CHILD HEALTH ASSOCIATES, PC
Organization
Pediatrics2390 MITCHELL PARK DR SUITE A
PETOSKEY, MI 49770
(231) 487-2250
1083828172 CHRISTINE GREENWALT CARPENTER MSW, LMSW, ACSW
Individual
Social Worker (Clinical)2390 MITCHELL PARK DR
PETOSKEY, MI 49770
(231) 487-2250

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275079725, enumerated in the NPI registry as an "organization" on January 09, 2017

The provider is located at 2390 Mitchell Park Dr Suite A Petoskey, Mi 49770 and the phone number is (231) 487-2250

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 23D0966757 for a "federally qualified health center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 09, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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