COVERED BRIDGE HEALTHCARE OF ST. JOSEPH COUNTY INC
NPI 1063876910
Clinic/Center - Federally Qualified Health Center (FQHC) in Centreville, MI
About Covered Bridge Healthcare Of St. Joseph County Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COVERED BRIDGE HEALTHCARE OF ST. JOSEPH COUNTY INC (NPI 1063876910) is a healthcare organization registered as a federally qualified health center (fqhc) in Centreville, Michigan and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through July 17, 2028 and lists Richard Shaffer, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Covered Bridge Healthcare Of St. Joseph County Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Covered Bridge Healthcare Of St. Joseph County Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 23D2115980
Covered Bridge Healthcare Of St Joseph County, Inc · Centreville, MIFrequently 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 Covered Bridge Healthcare Of St. Joseph County Inc's NPI number?
The NPI number for Covered Bridge Healthcare Of St. Joseph County Inc is 1063876910. It was assigned to this organization in the NPPES registry on April 7, 2016.
Where is Covered Bridge Healthcare Of St. Joseph County Inc located?
Covered Bridge Healthcare Of St. Joseph County Inc is located at 658 E Main St, Centreville, MI 49032. The listed phone number is (269) 467-3228.
What is Covered Bridge Healthcare Of St. Joseph County Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Covered Bridge Healthcare Of St. Joseph County Inc enrolled in Medicare?
Yes. Covered Bridge Healthcare Of St. Joseph County Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Covered Bridge Healthcare Of St. Joseph County Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 5 Medicare specialties reassign their Medicare billing to Covered Bridge Healthcare Of St. Joseph County Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Clinical Social Worker (2) and Psychiatry (2). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Covered Bridge Healthcare Of St. Joseph County Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2115980) is associated with this NPI, valid through July 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Covered Bridge Healthcare Of St. Joseph County Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Covered Bridge Healthcare Of St. Joseph County 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 Covered Bridge Healthcare Of St. Joseph County Inc was last updated on March 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Covered Bridge Healthcare Of St. Joseph County Inc · NPI 1063876910
Federally Qualified Health Center (FQHC) organization in Centreville, Michigan. Organization record, active in the CMS NPPES registry since April 7, 2016.
## Identity
- **NPI:** 1063876910 (Entity type: Organization)
- **Enumerated:** April 7, 2016
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Richard Shaffer, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 658 E MAIN ST, Centreville, MI 49032-9699
- **Phone:** (269) 467-3228
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Clinical Social Worker (2), Psychiatry (2); 4 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2017
- **Other identifiers:** Medicare PIN 1063876910 (MI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063876910) · Data from the CMS NPPES public registry.