EDGEWATER FAMILY HEALTH, PLC
NPI 1710436571
Family Medicine in Saint Joseph, MI

Active since September 22, 2016CLIA 23D1004849 · Microscopy
405 MOMANY DRIVE, SAINT JOSEPH, MI 49085(269) 982-1947(269) 982-1950 Get Directions Write a Review

NPPES record last updated: September 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edgewater Family Health, Plc NPPES

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

EDGEWATER FAMILY HEALTH, PLC (NPI 1710436571) is a healthcare organization registered as a family medicine in Saint Joseph, Michigan and active in the NPI registry since September 2016. The organization holds a CLIA Microscopy certificate valid through October 7, 2026 and lists Matthew J Campbell, Owner, as its authorized official.

NPPES Registry Identity

NPI1710436571
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEDGEWATER FAMILY HEALTH, PLC
Location Address405 MOMANY DRIVESaint Joseph, MI 49085-2178
Mailing Address405 Momany DrSaint Joseph, MI 49085-2178 · (269) 982-1947 · Fax (269) 982-1950
Fax(269) 982-1950
Organization SubpartNo
Authorized OfficialMatthew J CampbellOwner · (269) 982-1947
Enumeration DateSeptember 22, 2016
NPI 1710436571 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 · 4301080141
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.
405 MOMANY DRIVE, Saint Joseph, MI 49085

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 SINGLE SPECIALTY GROUP

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) 23D1004849

Edgewater Family Health, Plc · Saint Joseph, MI
Active · expires Oct 7, 2026
CLIA Number23D1004849
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 2024
Certificate Expiration DateOctober 7, 2026
Laboratory DirectorSigita G. Alimenti
Laboratory Phone(269) 982-1947
Laboratory LocationEdgewater Family Health, Plc405 Momany Drive, Saint Joseph, MI 49085
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
405 MOMANY DRIVE
ST JOSEPH, MI 49085

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 Edgewater Family Health, Plc's NPI number?

The NPI number for Edgewater Family Health, Plc is 1710436571. It was assigned to this organization in the NPPES registry on September 22, 2016.

Where is Edgewater Family Health, Plc located?

Edgewater Family Health, Plc is located at 405 Momany Drive, Saint Joseph, MI 49085. The listed phone number is (269) 982-1947.

What is Edgewater Family Health, Plc's specialty?

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

Does Edgewater Family Health, Plc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D1004849) is associated with this NPI, valid through October 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Edgewater Family Health, Plc was last updated on September 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.