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UPPER GREAT LAKES FAMILY HEALTH CENTER
NPI 1205217239
Dentist - General Practice in Hancock, MI

Active since June 16, 2015CLIA Certified · 2 labs
1550 W QUINCY ST, HANCOCK, MI 49930(906) 482-3621(906) 482-3676 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 1205217239) is a healthcare organization registered as a general practice in Hancock, Michigan and active in the NPI registry since June 2015. The organization holds 2 active CLIA laboratory certificates and lists Donald A Simila, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205217239
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameUPPER GREAT LAKES FAMILY HEALTH CENTER
Location Address1550 W QUINCY STHancock, MI 49930-1223
Mailing Address1550 W Quincy StHancock, MI 49930-1223 · (906) 482-3621 · Fax (906) 482-3676
Phone(906) 482-3621
Fax(906) 482-3676
Organization SubpartNo
Authorized OfficialDonald A SimilaCeo · (906) 483-1325
Enumeration DateJune 16, 2015
✔ NPI 1205217239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1550 W QUINCY ST, Hancock, MI 49930
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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

CLIA Laboratory Certificates CMS CLIA 2

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) 23D2337604

Upper Great Lakes Family Health Center Ob · Hancock, MI
Active · expires Jan 26, 2028
CLIA Number23D2337604
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 27, 2026
Certificate Expiration DateJanuary 26, 2028
Laboratory DirectorCatherine A. Kroll
Laboratory Phone(906) 483-1050
Laboratory LocationUpper Great Lakes Family Health Center Ob500 Campus Drive, Hancock, MI 49930
CLIA data matches this NPI record on: Name
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.

Certificate of Waiver 23D2155083

Upper Great Lakes Family Health Center Pediatrics · Hancock, MI
Active · expires Sep 23, 2026
CLIA Number23D2155083
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorCatherine A. Kroll
Laboratory Phone(906) 483-1700
Laboratory LocationUpper Great Lakes Family Health Center Pediatrics506 Campus Drive Suite 5, Hancock, MI 49930
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

DR. FAITHE ROSEANNE SARAZIN D.D.S.
Dentist
1550 W QUINCY ST
HANCOCK, MI 49930
Houghton County (906) 482-3621
DR. ANTHONY CHARLES SARAZIN D.D.S.
Dentist
1550 W QUINCY ST
HANCOCK, MI 49930
Houghton County (906) 482-3621
SARAH MAKI RDA/CDA
Dental Assistant
1550 W QUINCY ST
HANCOCK, MI 49930
Houghton County (906) 482-3621
AMY DATTO RDH
Dental Hygienist
1550 W QUINCY ST
HANCOCK, MI 49930
Houghton County (906) 482-3621
SHARI BILLECK RDA/CDA
Dental Assistant
1550 W QUINCY ST
HANCOCK, MI 49930
Houghton County (906) 482-3621
DR. SARAH METTLACH DDS, MS
Dentist (Pediatric Dentistry)
1550 W QUINCY ST
HANCOCK, MI 49930
Houghton County (906) 482-3621
ANN LEPISTO RDH
Dental Hygienist
1550 W QUINCY ST
HANCOCK, MI 49930
Houghton County (906) 482-3621
MEGAN BUGWEG RDH
Dental Hygienist
1550 W QUINCY ST
HANCOCK, MI 49930
Houghton County (906) 482-3621

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 1205217239. It was assigned to this organization in the NPPES registry on June 16, 2015.

Where is Upper Great Lakes Family Health Center located?

Upper Great Lakes Family Health Center is located at 1550 W Quincy St, Hancock, MI 49930. The listed phone number is (906) 482-3621.

What is Upper Great Lakes Family Health Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Does Upper Great Lakes Family Health Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Upper Great Lakes Family Health Center was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.