Provider Demographics
NPI:1609244490
Name:STERLING AREA HEALTH CENTER
Entity Type:Organization
Organization Name:STERLING AREA HEALTH CENTER
Other - Org Name:WEST BRANCH CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:WYPYSKI
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:989-654-2072
Mailing Address - Street 1:621 COURT ST STE 102
Mailing Address - Street 2:
Mailing Address - City:WEST BRANCH
Mailing Address - State:MI
Mailing Address - Zip Code:48661-8768
Mailing Address - Country:US
Mailing Address - Phone:989-343-9466
Mailing Address - Fax:
Practice Address - Street 1:621 COURT ST STE 102
Practice Address - Street 2:
Practice Address - City:WEST BRANCH
Practice Address - State:MI
Practice Address - Zip Code:48661-8768
Practice Address - Country:US
Practice Address - Phone:989-343-9466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STERLING AREA HEALTH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-09-10
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)