SAULT HIGH ADOLESCENT CARE CENTER (SHACC)
NPI 1689796930
Clinic/Center - Student Health in Sault Sainte Marie, MI

NPI Status: Active since April 06, 2007

Contact Information

904 MARQUETTE AVE
ROOM 622
SAULT SAINTE MARIE, MI
ZIP 49783
Phone: (906) 632-5690
Fax: (906) 635-1325

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  • Organization
  • Clinic/Center
  • Student Health
  • Accepts Insurance

About SAULT HIGH ADOLESCENT CARE CENTER (SHACC)

This page provides the complete NPI Profile along with additional information for Sault High Adolescent Care Center (shacc), a primary care provider established in Sault Sainte Marie, Michigan operating as a Clinic/center, focusing in student health . The healthcare provider is registered in the NPI registry with number 1689796930 assigned on April 2007. The practitioner's primary taxonomy code is 261QS1000X with license number 4301030101 (MI). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Sault High Adolescent Care Center (shacc). The authorized official of this NPI record is Karen Marie Senkus (Health Officer)

NPI
1689796930
Provider Legal Name
CHIPPEWA COUNTY HEALTH DEPARTMENT
Other Organization Name
SAULT HIGH ADOLESCENT CARE CENTER (SHACC)
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
904 MARQUETTE AVE ROOM 622 SAULT SAINTE MARIE, MI 49783
Location Phone
(906) 632-5690
Location Fax
(906) 635-1325
Mailing Address
508 ASHMUN ST STE 120 SAULT SAINTE MARIE, MI 49783
Mailing Phone
(906) 635-1568
Mailing Fax
(906) 635-1325
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-06-2007
Last Update Date
02-26-2021
Code Navigator

A primary care provider (PCP) like Sault High Adolescent Care Center (shacc) 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 Student Health

Taxonomy Code
261QS1000X
Type
Ambulatory Health Care Facilities
License No.
4301030101
License State
MI

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QD0000XAmbulatory Health Care Facilities

Clinic/Center
Dental

 
2261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

6301008585 (MI)
3261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

4301030101 (MI)

Insurance Plans Accepted

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

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • Blue Dental EPO 80/50/50 (0/0/0) - EPO
  • MHP Bronze - HMO
  • MHP Bronze Saver (Expanded) - HMO
  • MHP Expanded Bronze Standard - HMO
  • MHP Gold - HMO
  • MHP Gold Standard - HMO
  • MHP Silver Exchange - HMO
  • MHP Silver Exchange Rewards - HMO
  • MHP Silver Standard - HMO
  • MHP Young Adult/Catastrophic - HMO

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.

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

KAREN MARIE SENKUS

Authorized Official Title
HEALTH OFFICER
Authorized Official Phone
(906) 253-3103

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
4905013MEDICAID (05)MI 
4904992MEDICAID (05)MI 
680A710440OTHER (01)MIBCBS-MENTAL HEALTH
4904983MEDICAID (05)MI 
500A710530OTHER (01)MIBCBS-NP GROUP
4905004MEDICAID (05)MI 

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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 1689796930, we treat the final digit (0) 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 80. The final step is to find the difference between that total and the next multiple of ten (80 - 80 = 0).

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
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
0
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 8 → 16 → 7 7 → 14 → 5 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 6 + 9 + 1 + 4 + 9 + 1 + 2 + 9 + 6 + 24 = 80

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

The next multiple of ten after 80 is 80. The difference is the calculated check digit.

80 - 80 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1689796930.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
904 MARQUETTE AVE
SAULT SAINTE MARIE, MI 49783

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689796930, enumerated as an "organization" on April 06, 2007.

The provider is located at 904 MARQUETTE AVE ROOM 622 SAULT SAINTE MARIE, MI 49783 and the phone number is (906) 632-5690.

Clinic/Center with taxonomy code 261QS1000X and a focus in Student Health.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.