TRAVERSE HEALTH CLINIC
NPI 1417322884
Clinic/Center - Federally Qualified Health Center (FQHC) in Traverse City, MI

NPI Status: Active since December 10, 2015

Contact Information

105 HALL ST
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 935-4394
Fax: (231) 935-3696

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 23D2119736
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 10-03-2026

About TRAVERSE HEALTH CLINIC

This page provides the complete NPI Profile along with additional information for Traverse Health Clinic, a primary care provider established in Traverse City, Michigan operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1417322884 assigned on December 2015. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Traverse Health Clinic. The authorized official of this NPI record is Arlene J Brennan Mhsa (Ceo)

NPI
1417322884
Provider Legal Name
TRAVERSE HEALTH CLINIC AND COALITION
Other Organization Name
TRAVERSE HEALTH CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
105 HALL ST TRAVERSE CITY, MI 49684
Location Phone
(231) 935-4394
Location Fax
(231) 935-3696
Mailing Address
3155 LOGAN VALLEY RD TRAVERSE CITY, MI 49684
Mailing Phone
(231) 935-0799
Mailing Fax
(231) 935-3696
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-10-2015
Last Update Date
01-28-2016
Code Navigator

A primary care provider (PCP) like Traverse Health Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ARLENE J BRENNAN MHSA

Authorized Official Title
CEO
Authorized Official Phone
(231) 935-0351

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1669441457MEDICAID (05)MI 
1265517494MEDICAID (05)MI 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2119736
Facility Type
Federally Qualified Health Center
Certificate Effective Date
October 04, 2024
Certificate Expiration Date
October 03, 2026
Laboratory Director
JASON SCHREIBER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Traverse Health Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for TRAVERSE HEALTH CLINIC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1417322884, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 3 → 6 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 2 + 7 + 6 + 2 + 4 + 8 + 1 + 6 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1417322884.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
105 HALL ST, SUITE A
TRAVERSE CITY, MI 49684
Social Worker
105 HALL ST, SUITE A
TRAVERSE CITY, MI 49684
Social Worker
105 HALL ST, SUITE A
TRAVERSE CITY, MI 49684
Psychologist
105 HALL ST, SUITE A
TRAVERSE CITY, MI 49684
Psychiatry & Neurology (Psychiatry)
105 HALL ST, SUITE A
TRAVERSE CITY, MI 49684
Social Worker
105 HALL ST, SUITE A
TRAVERSE CITY, MI 49684
Social Worker
105 HALL ST, SUITE A
TRAVERSE CITY, MI 49684
Social Worker
105 HALL ST, SUITE A
TRAVERSE CITY, MI 49684
Social Worker
105 HALL ST, SUITE A
TRAVERSE CITY, MI 49684
Psychologist
105 HALL ST, SUITE A
TRAVERSE CITY, MI 49684
Social Worker
105 HALL ST, SUITE A
TRAVERSE CITY, MI 49684
Social Worker
105 HALL ST, SUITE A
TRAVERSE CITY, MI 49684
Social Worker
105 HALL ST
TRAVERSE CITY, MI 49684
Occupational Therapist
105 HALL ST
TRAVERSE CITY, MI 49684
Social Worker
105 HALL ST
TRAVERSE CITY, MI 49684
Psychologist
105 HALL ST
TRAVERSE CITY, MI 49684
Health Maintenance Organization
105 HALL ST
TRAVERSE CITY, MI 49684
Social Worker
105 HALL ST
TRAVERSE CITY, MI 49684
Counselor (Professional)
105 HALL ST, NORTHERN LAKES CMH
TRAVERSE CITY, MI 49684
Social Worker (Clinical)
105 HALL ST
TRAVERSE CITY, MI 49684

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417322884, enumerated as an "organization" on December 10, 2015.

The provider is located at 105 HALL ST TRAVERSE CITY, MI 49684 and the phone number is (231) 935-4394.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.