FABRIKAL SCHUPAN HEALTH CENTER
NPI 1104318369
Nurse Practitioner in Kalamazoo, MI

Active since June 04, 2018
3520 COVINGTON RD, KALAMAZOO, MI 49001(802) 857-0400 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nurse Practitioner
  • Accepts Insurance

About FABRIKAL SCHUPAN HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Fabrikal Schupan Health Center, a provider established in Kalamazoo, Michigan operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1104318369 assigned on June 2018. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Fabrikal Schupan Health Center. The authorized official of this NPI record is Jerry Ford (Ceo)

NPI
1104318369 Verify this NPI
Provider Legal Name
MARATHON HEALTH LLC
Other Organization Name
FABRIKAL SCHUPAN HEALTH CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
3520 COVINGTON RD KALAMAZOO, MI 49001
Location Phone
(802) 857-0400
Mailing Address
20 WINOOSKI FALLS WAY STE 400 WINOOSKI, VT 05404
Mailing Phone
(802) 857-0434
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-04-2018
Last Update Date
06-16-2018
Code Navigator

A nurse practitioner (NP) like Fabrikal Schupan Health Center is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, 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

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver 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

*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

JERRY FORD

Authorized Official Title
CEO
Authorized Official Phone
(802) 857-0400

Reviews for FABRIKAL SCHUPAN HEALTH CENTER

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
3520 COVINGTON RD
KALAMAZOO, MI 49001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104318369, enumerated as an "organization" on June 04, 2018.

The provider is located at 3520 COVINGTON RD KALAMAZOO, MI 49001 and the phone number is (802) 857-0400.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. Please consult your insurance carrier or call the provider to verify.