MENOMINEE FAMILY HEALTH CENTER
NPI 1295159788
Clinic/Center - Federally Qualified Health Center (FQHC) in Gwinn, MI

Active since February 05, 2014CLIA 23D2079665 · Waiver

NPPES record last updated: February 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Menominee Family Health Center NPPES

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

MENOMINEE FAMILY HEALTH CENTER (NPI 1295159788) is a healthcare organization registered as a federally qualified health center (fqhc) in Gwinn, Michigan and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through June 19, 2028 and lists Wendy Rautio, Controller, as its authorized official.

NPPES Registry Identity

NPI1295159788
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameUPPER GREAT LAKES FAMILY HEALTH CENTER
Location Address135 E M35Gwinn, MI 49841-9160
Mailing Address1110 10th AveMenominee, MI 49858-3058
Organization SubpartNo
Authorized OfficialWendy RautioController · (906) 346-3202
Enumeration DateFebruary 5, 2014
NPI 1295159788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
135 E M35, Gwinn, MI 49841

Other Names 1

Doing Business AsMenominee Family Health Center

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 23D2079665

Menominee Family Health Center · Menominee, MI
Active · expires Jun 19, 2028
CLIA Number23D2079665
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 20, 2026
Certificate Expiration DateJune 19, 2028
Laboratory DirectorCatherine A. Kroll
Laboratory Phone(906) 290-5000
Laboratory LocationMenominee Family Health Center1110 10th Avenue, Menominee, MI 49858
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

Social Worker
135 E M35
GWINN, MI 49841
Nurse Practitioner (Family)
135 E M35
GWINN, MI 49841
Nurse Practitioner (Family)
135 E M35
GWINN, MI 49841
Nurse Practitioner (Primary Care)
135 E M35
GWINN, MI 49841
Counselor (Professional)
135 E M35
GWINN, MI 49841
Family Medicine
135 E M35
GWINN, MI 49841
Physician Assistant
135 E M35
GWINN, MI 49841
Family Medicine
135 E M35
GWINN, MI 49841

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 1295159788. It was assigned to this organization in the NPPES registry on February 5, 2014. The provider is doing business as Menominee Family Health Center.

Where is Upper Great Lakes Family Health Center located?

Upper Great Lakes Family Health Center is located at 135 E M35, Gwinn, MI 49841. The listed phone number is (906) 346-3202.

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 of Waiver (number 23D2079665) is associated with this NPI, valid through June 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Upper Great Lakes Family Health Center was last updated on February 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.