UPPER GREAT LAKES FAMILY HEALTH CENTER
NPI 1114354479
Clinic/Center - Federally Qualified Health Center (FQHC) in Calumet, 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 October 02, 2013CLIA 23D2068402 · Waiver

56720 CALUMET AVE, CALUMET, MI 49913(906) 483-1177(906) 372-3230 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2026, Jul 10, 2025, Nov 11, 2024 and 2 more (5 updates tracked since 2017).

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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 1114354479), doing business as Calumet Family Health Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Calumet, Michigan and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through November 3, 2027 and lists Trevor Hodges, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114354479

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameUPPER GREAT LAKES FAMILY HEALTH CENTER

Location Address56720 CALUMET AVECalumet, MI 49913-1967

Mailing Address135 E M35Gwinn, MI 49841-9160 · (906) 483-1177 · Fax (906) 372-3230

Phone(906) 483-1177

Fax(906) 372-3230

Organization SubpartNo

Authorized OfficialTrevor HodgesCeo · (906) 483-1846

Enumeration DateOctober 2, 2013

Last NPPES UpdateMay 13, 20265 updates tracked since enumeration

NPPES CertifiedMay 13, 2026

✔ NPI 1114354479 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

56720 CALUMET AVE, Calumet, MI 49913

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Other Names 1

Doing Business AsCalumet 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 23D2068402

Upper Great Lakes Family Health Center - Calumet · Calumet, MI

Active · expires Nov 3, 2027

CLIA Number23D2068402

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateNovember 4, 2025

Certificate Expiration DateNovember 3, 2027

Laboratory DirectorCatherine A. Kroll

Laboratory Phone(906) 483-1177

Laboratory LocationUpper Great Lakes Family Health Center - Calumet56720 Calumet Avenue, Calumet, MI 49913

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 20

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

NICOLE SERICE RUTHERFORD

Community Health Worker