UPPER GREAT LAKES FAMILY HEALTH CENTER
NPI 1164893491
Clinic/Center - Federally Qualified Health Center (FQHC) in Gwinn, MI
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
Specialties & Licenses 2
Group Practice 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)
Upper Great Lakes Family Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
56Medicare enrollment records show 56 clinicians reassign Medicare billing to Upper Great Lakes Family Health Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 56Source: 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 for Provider-Performed Microscopy Procedures (PPMP) 23D1098656
Upper Great Lakes Family Health Center Sawyer · Gwinn, 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 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.
Is Upper Great Lakes Family Health Center enrolled in Medicare?
Yes. Upper Great Lakes Family Health Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Upper Great Lakes Family Health Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 56 clinicians in 8 Medicare specialties reassign their Medicare billing to Upper Great Lakes Family Health Center. 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 Obstetrics/Gynecology (16), Family Practice (12) and Nurse Practitioner (11). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 5 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.
# Upper Great Lakes Family Health Center · NPI 1164893491
Federally Qualified Health Center (FQHC) organization in Gwinn, Michigan. Organization record, active in the CMS NPPES registry since October 13, 2015.
## Identity
- **NPI:** 1164893491 (Entity type: Organization)
- **Enumerated:** October 13, 2015
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Trevor Hodges, CEO
## Practice location
- **Address:** 301 EXPLORER ST, Gwinn, MI 49841-2813
- **Phone:** (906) 346-4924 · **Fax:** (906) 372-3230
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 56 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (16), Family Practice (12), Nurse Practitioner (11); 1 practice at this address and 7 within 10 miles; [full list](https://npiprofile.com/npi/1164893491/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164893491) · Data from the CMS NPPES public registry.