BEAVER ISLAND RURAL HEALTH CENTER
NPI 1407828080
Clinic/Center - Rural Health in Beaver Island, MI
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
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Beaver Island Rural Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Beaver Island Rural Health Center, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (11)
Source: 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) 23D0381877
Beaver Island Rural Health Center · Beaver Island, 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 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.
Where is Beaver Island Rural Health Center located?
Beaver Island Rural Health Center is located at 37304 Kings Hwy, Beaver Island, MI 49782. The listed phone number is (231) 448-2275.
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.
Is Beaver Island Rural Health Center enrolled in Medicare?
Yes. Beaver Island Rural Health Center is registered in the Medicare PECOS enrollment system.
When is Beaver Island Rural Health Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Beaver Island Rural Health Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 6 Medicare specialties reassign their Medicare billing to Beaver Island Rural 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 Nurse Practitioner (6), Clinical Psychologist (1) and Family Practice (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Beaver Island Rural Health Center hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D0381877) is associated with this NPI, valid through August 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Beaver Island Rural Health Center accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Beaver Island Rural 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 Beaver Island Rural Health Center was last updated on January 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Beaver Island Rural Health Center · NPI 1407828080
Rural Health organization in Beaver Island, Michigan. Organization record, active in the CMS NPPES registry since February 7, 2006.
## Identity
- **NPI:** 1407828080 (Entity type: Organization)
- **Enumerated:** February 7, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Donna Kubic, MANAGING DIRECTOR
## Practice location
- **Address:** 37304 KINGS HWY, Beaver Island, MI 49782-9792
- **Phone:** (231) 448-2275 · **Fax:** (231) 448-2348
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Clinical Psychologist (1), Family Practice (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2013
- **Other identifiers:** Medicare ID-Type Unspecified OP18960 (MI); Medicare OSCAR/certification 233813 (MI); Medicaid 1407828080 (MI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407828080) · Data from the CMS NPPES public registry.