BEAVER ISLAND RURAL HEALTH CENTER
NPI 1407828080
Clinic/Center - Rural Health in Beaver Island, MI

Q: What is Beaver Island Rural Health Center's NPI number?

The NPI number for Beaver Island Rural Health Center is 1407828080. It was assigned to this organization in the NPPES registry on February 7, 2006.

Q: What is Beaver Island Rural Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since February 07, 2006CLIA 23D0381877 · Microscopy

37304 KINGS HWY, BEAVER ISLAND, MI 49782(231) 448-2275(231) 448-2348 Get Directions Write a Review

NPPES record last updated: January 23, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Beaver Island Rural Health Center NPPES

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

BEAVER ISLAND RURAL HEALTH CENTER (NPI 1407828080) is a healthcare organization registered as a rural health in Beaver Island, Michigan and active in the NPI registry since February 2006. The organization holds a CLIA Microscopy certificate valid through August 9, 2027 and lists Donna Kubic, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1407828080

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameBEAVER ISLAND RURAL HEALTH CENTER

Location Address37304 KINGS HWYBeaver Island, MI 49782-9792

Mailing Address37304 Kings HwyBeaver Island, MI 49782-9792 · (231) 448-2275 · Fax (231) 448-2348

Phone(231) 448-2275

Fax(231) 448-2348

Organization SubpartNo

Authorized OfficialDonna KubicManaging Director · (231) 448-2275

Enumeration DateFebruary 7, 2006

Last NPPES UpdateJanuary 23, 2013

✔ NPI 1407828080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

37304 KINGS HWY, Beaver Island, MI 49782

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Other Identifiers 3

Medicare ID-Type UnspecifiedOP18960MI

Medicare OSCAR/certification233813MI

Medicaid1407828080MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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) 23D0381877

Beaver Island Rural Health Center · Beaver Island, MI

Active · expires Aug 9, 2027

CLIA Number23D0381877

Laboratory TypeRural Health Clinic

Certificate Effective DateAugust 10, 2025

Certificate Expiration DateAugust 9, 2027

Laboratory DirectorKimberly E. Wysocki

Laboratory Phone(231) 448-2275

Laboratory LocationBeaver Island Rural Health Center37304 Kings Highway, Beaver Island, MI 49782

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 5

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

SUSAN JANE SOLLE FNPC

Nurse Practitioner (Family)