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UPPER GREAT LAKES FAMILY HEALTH CENTER
NPI 1164893491
Clinic/Center - Federally Qualified Health Center (FQHC) in Gwinn, MI

Active since October 13, 2015CLIA 23D1098656 · Microscopy
301 EXPLORER ST, GWINN, MI 49841(906) 346-4924(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 2 more (5 updates tracked since 2017).

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 1164893491) is a healthcare organization registered as a federally qualified health center (fqhc) in Gwinn, Michigan and active in the NPI registry since October 2015. The organization holds a CLIA Microscopy certificate valid through April 23, 2027 and lists Trevor Hodges, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164893491
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameUPPER GREAT LAKES FAMILY HEALTH CENTER
Location Address301 EXPLORER STGwinn, MI 49841-2813
Mailing Address135 E M35Gwinn, MI 49841-9160 · (906) 346-9275 · Fax (906) 372-3230
Phone(906) 346-4924
Fax(906) 372-3230
Organization SubpartNo
Authorized OfficialTrevor HodgesCeo · (906) 483-1846
Enumeration DateOctober 13, 2015
Last NPPES UpdateMay 13, 20265 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1164893491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
301 EXPLORER ST, Gwinn, MI 49841
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 for Provider-Performed Microscopy Procedures (PPMP) 23D1098656

Upper Great Lakes Family Health Center Sawyer · Gwinn, MI
Active · expires Apr 23, 2027
CLIA Number23D1098656
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorCatherine A. Kroll
Laboratory Phone(906) 346-4924
Laboratory LocationUpper Great Lakes Family Health Center Sawyer301 Explorer, Gwinn, MI 49841
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 19

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

DR. RAYMELLE M. SCHOOS M.D.
Psychiatry & Neurology (Psychiatry)
301 EXPLORER ST
GWINN, MI 49841
Marquette County (906) 346-4924
MS. KIMBERLY SUE BROWNING R.D.H.
Dental Hygienist
301 EXPLORER ST, SUITE B
GWINN, MI 49841
Marquette County (906) 372-9262
STACEY ANDRESEN
Dental Hygienist
301 EXPLORER ST
GWINN, MI 49841
Marquette County (906) 346-9275
MS. SANDRA CROASDELL FNP-BC
Nurse Practitioner (Family)
301 EXPLORER ST
GWINN, MI 49841
Marquette County (190) 634-6492
APRIL PHILLIPS LPN, BHCM
Licensed Practical Nurse
301 EXPLORER ST
GWINN, MI 49841
Marquette County (906) 346-9275
MISS KIRA RAYN MASSIE RDH
Dental Hygienist
301 EXPLORER ST
GWINN, MI 49841
Marquette County (906) 346-9275
KIMBERLEY ANN SUHANIC D.O.
Family Medicine
301 EXPLORER ST
GWINN, MI 49841
Marquette County (906) 346-4924
ASHLEY E CROASDELL FNP
Nurse Practitioner (Family)
301 EXPLORER ST
GWINN, MI 49841
Marquette County (906) 346-4924

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 Upper Great Lakes Family Health Center's NPI number?

The NPI number for Upper Great Lakes Family Health Center is 1164893491. It was assigned to this organization in the NPPES registry on October 13, 2015.

Where is Upper Great Lakes Family Health Center located?

Upper Great Lakes Family Health Center is located at 301 Explorer St, Gwinn, MI 49841. The listed phone number is (906) 346-4924.

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.

Does Upper Great Lakes Family Health Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D1098656) is associated with this NPI, valid through April 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Upper Great Lakes Family Health Center accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and UnitedHealthcare list Upper Great Lakes Family Health Center 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 Upper Great Lakes Family Health Center was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.