Provider Demographics
NPI:1689659450
Name:STERLING AREA HEALTH CENTER
Entity Type:Organization
Organization Name:STERLING AREA HEALTH CENTER
Other - Org Name:STERLING AREA DENTAL CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:BALTEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:989-654-2072
Mailing Address - Street 1:5095 RIFLE RIVER TRL
Mailing Address - Street 2:
Mailing Address - City:ALGER
Mailing Address - State:MI
Mailing Address - Zip Code:48610-9327
Mailing Address - Country:US
Mailing Address - Phone:989-873-5152
Mailing Address - Fax:989-873-5913
Practice Address - Street 1:5095 RIFLE RIVER TRL
Practice Address - Street 2:
Practice Address - City:ALGER
Practice Address - State:MI
Practice Address - Zip Code:48610-9327
Practice Address - Country:US
Practice Address - Phone:989-873-5152
Practice Address - Fax:989-873-5913
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STERLING AREA HEALTH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-12-14
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QD0000X
MI261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental