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SOUTH SHORE WOMEN'S HEALTH CARE PC
NPI 1649494246
Obstetrics & Gynecology in St. Joseph, MI

Active since April 13, 2007CLIA 23D0377985 · Accreditation
2690 S CLEVELAND AVENUE, ST. JOSEPH, MI 49085(269) 428-2800(269) 428-7177 Get Directions Write a Review

NPPES record last updated: May 18, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Shore Women's Health Care Pc NPPES

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

SOUTH SHORE WOMEN'S HEALTH CARE PC (NPI 1649494246) is a healthcare organization registered as an obstetrics & gynecology in St. Joseph, Michigan and active in the NPI registry since April 2007. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Rachael E Proctor, President, as its authorized official.

NPPES Registry Identity

NPI1649494246
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSOUTH SHORE WOMEN'S HEALTH CARE PC
Location Address2690 S CLEVELAND AVENUESt. Joseph, MI 49085-3002
Mailing Address2690 S Cleveland AvenueSt. Joseph, MI 49085-3002 · (269) 428-2800 · Fax (269) 428-7177
Phone(269) 428-2800
Fax(269) 428-7177
Organization SubpartNo
Authorized OfficialRachael E ProctorPresident · (269) 428-2800
Enumeration DateApril 13, 2007
Last NPPES UpdateMay 18, 2011
✔ NPI 1649494246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · RP073123
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2690 S CLEVELAND AVENUE, St. Joseph, MI 49085
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Other Identifiers 1

Medicare PINOA16065MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 of Accreditation 23D0377985

South Shore Women's Health Care · St Joseph, MI
Active · expires Dec 22, 2027
CLIA Number23D0377985
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Heidi M. Grabemeyer Layman
Laboratory Phone(269) 428-2800
Laboratory LocationSouth Shore Women's Health Care2690 S Cleveland Ave, St Joseph, MI 49085
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 South Shore Women's Health Care PC's NPI number?

The NPI number for South Shore Women's Health Care PC is 1649494246. It was assigned to this organization in the NPPES registry on April 13, 2007.

Where is South Shore Women's Health Care PC located?

South Shore Women's Health Care PC is located at 2690 S Cleveland Avenue, St. Joseph, MI 49085. The listed phone number is (269) 428-2800.

What is South Shore Women's Health Care PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does South Shore Women's Health Care PC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 23D0377985) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Shore Women's Health Care PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list South Shore Women's Health Care PC 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 South Shore Women's Health Care PC was last updated on May 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.