TRAVERSE HEALTH CLINIC AND COALITION
NPI 1144178617
Pharmacy - Community/Retail Pharmacy in Traverse City, MI

Active since March 19, 2026CLIA 23D2119736 · Waiver
1719 S GARFIELD AVE, TRAVERSE CITY, MI 49686(231) 642-5813(231) 935-0962 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Traverse Health Clinic And Coalition NPPES

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

TRAVERSE HEALTH CLINIC AND COALITION (NPI 1144178617), doing business as Traverse Health Clinic Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Traverse City, Michigan and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through October 3, 2026 and lists Casey Kandow, Ceo, as its authorized official.

NPPES Registry Identity

NPI1144178617
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTRAVERSE HEALTH CLINIC AND COALITION
Location Address1719 S GARFIELD AVETraverse City, MI 49686-4337
Mailing Address1719 S Garfield AveTraverse City, MI 49686-4337 · (231) 642-5813 · Fax (231) 935-0962
Fax(231) 935-0962
Organization SubpartNo
Authorized OfficialCasey KandowCeo · (231) 935-0799
Enumeration DateMarch 19, 2026
NPPES CertifiedMarch 19, 2026
NPI 1144178617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
1719 S GARFIELD AVE, Traverse City, MI 49686

Other Names 1

Doing Business AsTraverse Health Clinic Pharmacy

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 23D2119736

Traverse Health Clinic And Coalition · Traverse City, MI
Active · expires Oct 3, 2026
CLIA Number23D2119736
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 4, 2024
Certificate Expiration DateOctober 3, 2026
Laboratory DirectorJason Schreiber
Laboratory Phone(231) 935-0799
Laboratory LocationTraverse Health Clinic And Coalition1719 S Garfield Avenue, Traverse City, MI 49686
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.

Community Health Worker
1719 S GARFIELD AVE
TRAVERSE CITY, MI 49686
Social Worker (Clinical)
1719 S GARFIELD AVE
TRAVERSE CITY, MI 49686
Community Health Worker
1719 S GARFIELD AVE
TRAVERSE CITY, MI 49686
Social Worker (Clinical)
1719 S GARFIELD AVE
TRAVERSE CITY, MI 49686
Counselor (Professional)
1719 S GARFIELD AVE
TRAVERSE CITY, MI 49686
Nurse Practitioner (Family)
1719 S GARFIELD AVE
TRAVERSE CITY, MI 49686
Nurse Practitioner (Adult Health)
1719 S GARFIELD AVE
TRAVERSE CITY, MI 49686
Nurse Practitioner (Family)
1719 S GARFIELD AVE
TRAVERSE CITY, MI 49686

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 Traverse Health Clinic And Coalition's NPI number?

The NPI number for Traverse Health Clinic And Coalition is 1144178617. It was assigned to this organization in the NPPES registry on March 19, 2026. The provider is doing business as Traverse Health Clinic Pharmacy.

Where is Traverse Health Clinic And Coalition located?

Traverse Health Clinic And Coalition is located at 1719 S Garfield Ave, Traverse City, MI 49686. The listed phone number is (231) 642-5813.

What is Traverse Health Clinic And Coalition's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Traverse Health Clinic And Coalition hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2119736) is associated with this NPI, valid through October 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Traverse Health Clinic And Coalition was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.