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PORT SANILAC HEALTHCARE
NPI 1013799469
Clinic/Center in Port Sanilac, MI

Active since October 19, 2023CLIA Certified · 2 labs
245 S RIDGE ST, PORT SANILAC, MI 48469(810) 376-2835 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2023, Oct 19, 2023 (2 updates tracked since 2023).

About Port Sanilac Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORT SANILAC HEALTHCARE (NPI 1013799469) is a healthcare organization registered as a clinic/center in Port Sanilac, Michigan and active in the NPI registry since October 2023. The organization holds 2 active CLIA laboratory certificates and lists Angela Mcconnachie, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013799469
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDECKERVILLE COMMUNITY HOSPITAL, INC
Location Address245 S RIDGE STPort Sanilac, MI 48469-9704
Mailing AddressPo Box 126Deckerville, MI 48427-0126
Phone(810) 376-2835
Organization SubpartYes
Authorized OfficialAngela McconnachieCeo · (989) 635-4000
Enumeration DateOctober 19, 2023
Last NPPES UpdateDecember 14, 20232 updates tracked since enumeration
NPPES CertifiedDecember 14, 2023
✔ NPI 1013799469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
245 S RIDGE ST, Port Sanilac, MI 48469
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Other Names 1

Doing Business AsPort Sanilac Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2297820

Port Sanilac Healthcare · Port Sanilac, MI
Active · expires Jan 22, 2028
CLIA Number23D2297820
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 23, 2026
Certificate Expiration DateJanuary 22, 2028
Laboratory DirectorFaraaz Ahmed
Laboratory Phone(810) 376-7000
Laboratory LocationPort Sanilac Healthcare245 S Ridge Street, Port Sanilac, MI 48469
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D0872529

Deckerville Community Hospital Med Sur Medical Surgical · Deckerville, MI
Active · expires Jun 29, 2027
CLIA Number23D0872529
Laboratory TypeHospital
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorEugene S. Olsowka
Laboratory Phone(810) 376-2835
Laboratory LocationDeckerville Community Hospital Med Sur Medical Surgical3559 Pine Street, Deckerville, MI 48427
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS A SIMMONS DDS MARY ANNE SIMMONS DDS, PC
Dentist (General Practice)
245 S RIDGE ST
PORT SANILAC, MI 48469
Sanilac County (810) 622-8230
DR. THOMAS ALAN SIMMONS DDS
Dentist (General Practice)
245 S RIDGE ST
PORT SANILAC, MI 48469
Sanilac County (810) 622-8230
MARLETTE REGIONAL HOSPITAL
Clinic/Center (Rural Health)
245 S RIDGE ST
PORT SANILAC, MI 48469
Sanilac County (810) 376-2835
DR. MARY ANNE SIMMONS
Dentist (General Practice)
245 S RIDGE ST
PORT SANILAC, MI 48469
Sanilac County (810) 622-8230
MRS. KATHLEEN NANETTE INMAN RDA, RDH, BS
Dental Hygienist
245 S RIDGE ST
PORT SANILAC, MI 48469
Sanilac County (810) 622-8230
FARAAZ AHMED MD
Internal Medicine
245 S RIDGE ST
PORT SANILAC, MI 48469
Sanilac County (810) 376-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deckerville Community Hospital, Inc's NPI number?

The NPI number for Deckerville Community Hospital, Inc is 1013799469. It was assigned to this organization in the NPPES registry on October 19, 2023. The provider is doing business as Port Sanilac Healthcare.

Where is Deckerville Community Hospital, Inc located?

Deckerville Community Hospital, Inc is located at 245 S Ridge St, Port Sanilac, MI 48469. The listed phone number is (810) 376-2835.

What is Deckerville Community Hospital, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Deckerville Community Hospital, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Deckerville Community Hospital, Inc accept?

Health plans from Blue Care Network of Michigan list Deckerville Community Hospital, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deckerville Community Hospital, Inc was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.