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ALCONA HEALTH CENTER PETOSKEY CHILD HEALTH ASSOCIATES
NPI 1275079725
Pediatrics in Petoskey, MI

Active since January 09, 2017CLIA 23D0966757 · Waiver
2390 MITCHELL PARK DR, SUITE A, PETOSKEY, MI 49770(231) 487-2250(231) 348-7972 Get Directions Write a Review

NPPES record last updated: January 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alcona Health Center Petoskey Child Health Associates NPPES

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

ALCONA HEALTH CENTER PETOSKEY CHILD HEALTH ASSOCIATES (NPI 1275079725) is a healthcare organization registered as a pediatrics in Petoskey, Michigan and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through October 25, 2027 and lists Christine Baumgarder, Ceo, as its authorized official.

NPPES Registry Identity

NPI1275079725
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameALCONA CITIZENS FOR HEALTH, INC.
Location Address2390 MITCHELL PARK DR, SUITE APetoskey, MI 49770-8965
Mailing Address177 N Barlow RdHarrisville, MI 48740-9607 · (989) 736-8157 · Fax (989) 358-3762
Phone(231) 487-2250
Fax(231) 348-7972
Organization SubpartNo
Authorized OfficialChristine BaumgarderCeo · (989) 736-8157
Enumeration DateJanuary 9, 2017
✔ NPI 1275079725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2390 MITCHELL PARK DR, Petoskey, MI 49770
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Other Names 1

Doing Business AsAlcona Health Center Petoskey Child Health Associates

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

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 23D0966757

Alcona Health Center Petoskey Child Health Associates · Petoskey, MI
Active · expires Oct 25, 2027
CLIA Number23D0966757
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorJeffrey G. Costain
Laboratory Phone(231) 487-2250
Laboratory LocationAlcona Health Center Petoskey Child Health Associates2390 Mitchell Park Drive Suite A, Petoskey, MI 49770
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 12

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

MS. SARAH ANN BROSCHART RDN
Dietitian, Registered
2390 MITCHELL PARK DR
PETOSKEY, MI 49770
Emmet County (231) 487-5569
CHRISTINE GREENWALT CARPENTER MSW, LMSW, ACSW
Social Worker (Clinical)
2390 MITCHELL PARK DR
PETOSKEY, MI 49770
Emmet County (231) 487-2250
PETOSKEY CHILD HEALTH ASSOCIATES, PC
Pediatrics
2390 MITCHELL PARK DR, SUITE A
PETOSKEY, MI 49770
Emmet County (231) 487-2250
GREAT LAKES CARDIOTHORACIC & VASCULAR SURGERY PLLC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2390 MITCHELL PARK DR, SUITE B
PETOSKEY, MI 49770
Emmet County (231) 487-9090
BRAD E VAZALES M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2390 MITCHELL PARK DR, SUITE B
PETOSKEY, MI 49770
Emmet County (231) 487-9090
R D FERGUSON DO, PC
Family Medicine
2390 MITCHELL PARK DR, UNIT C
PETOSKEY, MI 49770
Emmet County (231) 348-1968
DR. MARLA M SIGNS D.O.
Pediatrics
2390 MITCHELL PARK DR, SUITE A
PETOSKEY, MI 49770
Emmet County (231) 487-2250
R D FERGUSON DO, PC
Family Medicine
2390 MITCHELL PARK DR, UNIT C
PETOSKEY, MI 49770
Emmet County (231) 348-1968

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 Alcona Citizens For Health, Inc.'s NPI number?

The NPI number for Alcona Citizens For Health, Inc. is 1275079725. It was assigned to this organization in the NPPES registry on January 9, 2017. The provider is doing business as Alcona Health Center Petoskey Child Health Associates.

Where is Alcona Citizens For Health, Inc. located?

Alcona Citizens For Health, Inc. is located at 2390 Mitchell Park Dr Suite A, Petoskey, MI 49770. The listed phone number is (231) 487-2250.

What is Alcona Citizens For Health, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Alcona Citizens For Health, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0966757) is associated with this NPI, valid through October 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Alcona Citizens For Health, Inc. was last updated on January 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.