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ST. CHARLES FAMILY CLINIC PLLC
NPI 1669837993
Family Medicine in Saint Charles, MI

Active since December 31, 2015CLIA 23D0681685 · Waiver
611 W BELLE AVENUE, SAINT CHARLES, MI 48655(989) 865-9958(989) 865-8099 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 10, 2026, Feb 7, 2019, May 20, 2016 and 1 more (4 updates tracked since 2015).

About St. Charles Family Clinic Pllc NPPES

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

ST. CHARLES FAMILY CLINIC PLLC (NPI 1669837993) is a healthcare organization registered as a family medicine in Saint Charles, Michigan and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through April 14, 2028, maintains a secondary practice location in Gladwin, and lists Naveed Mahfooz, Owner, as its authorized official.

NPPES Registry Identity

NPI1669837993
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST. CHARLES FAMILY CLINIC PLLC
Location Address611 W BELLE AVENUESaint Charles, MI 48655
Mailing Address611 W Belle AveSaint Charles, MI 48655-1611 · (989) 865-9958 · Fax (989) 865-8099
Phone(989) 865-9958
Fax(989) 865-8099
Organization SubpartNo
Authorized OfficialNaveed MahfoozOwner · (989) 865-9958
Enumeration DateDecember 31, 2015
Last NPPES UpdateMarch 10, 20264 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1669837993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301059644
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
611 W BELLE AVENUE, Saint Charles, MI 48655
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Secondary Practice Location 1

Location 11277 E Cedar AveGladwin, MI 48624-7004 · Phone (989) 709-5515

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 of Waiver 23D0681685

St Charles Family Clinic PLLC · Saint Charles, MI
Active · expires Apr 14, 2028
CLIA Number23D0681685
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorNaveed Mahfooz
Laboratory Phone(989) 865-9958
Laboratory LocationSt Charles Family Clinic PLLC611 W Belle Avenue, Saint Charles, MI 48655
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 St. Charles Family Clinic PLLC's NPI number?

The NPI number for St. Charles Family Clinic PLLC is 1669837993. It was assigned to this organization in the NPPES registry on December 31, 2015.

Where is St. Charles Family Clinic PLLC located?

St. Charles Family Clinic PLLC is located at 611 W Belle Avenue, Saint Charles, MI 48655. The listed phone number is (989) 865-9958.

What is St. Charles Family Clinic PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does St. Charles Family Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0681685) is associated with this NPI, valid through April 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St. Charles Family Clinic PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list St. Charles Family Clinic PLLC 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 St. Charles Family Clinic PLLC was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.