UPPER GREAT LAKES FAMILY HEALTH CENTER
NPI 1053948265
Clinic/Center - Federally Qualified Health Center (FQHC) in Marquette, MI

Q: What is Upper Great Lakes Family Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since March 26, 2020CLIA 23D2184332 · Waiver

1414 W FAIR AVE STE 249, MARQUETTE, MI 49855(906) 449-2900(906) 372-3230 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2026, Jul 10, 2025, Nov 11, 2024 and 3 more (6 updates tracked since 2020).

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About Upper Great Lakes Family Health Center NPPES

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

UPPER GREAT LAKES FAMILY HEALTH CENTER (NPI 1053948265), doing business as Marquette Family Health Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Marquette, Michigan and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through May 18, 2028 and lists Trevor Hodges, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053948265

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameUPPER GREAT LAKES FAMILY HEALTH CENTER

Location Address1414 W FAIR AVE STE 249Marquette, MI 49855-5406

Mailing Address135 E M35Gwinn, MI 49841-9160 · (906) 449-2900 · Fax (906) 372-3230

Phone(906) 449-2900

Fax(906) 372-3230

Organization SubpartYesParent: -

Authorized OfficialTrevor HodgesCeo · (906) 483-1846

Enumeration DateMarch 26, 2020

Last NPPES UpdateMay 13, 20266 updates tracked since enumeration

NPPES CertifiedMay 13, 2026

✔ NPI 1053948265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

1414 W FAIR AVE STE 249, Marquette, MI 49855

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Other Names 1

Doing Business AsMarquette Family Health Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 23D2184332

Upper Great Lakes Marquette Family Health Center · Marquette, MI

Active · expires May 18, 2028

CLIA Number23D2184332

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateMay 19, 2026

Certificate Expiration DateMay 18, 2028

Laboratory DirectorCatherine A. Kroll

Laboratory Phone(906) 449-2900

Laboratory LocationUpper Great Lakes Marquette Family Health Center1414 W Fair Avenue Suite 249, Marquette, MI 49855

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

THOMAS KATES DO

Family Medicine (Addiction Medicine)