Provider Demographics
NPI:1255712873
Name:STERLING AREA HEALTH CENTER
Entity type:Organization
Organization Name:STERLING AREA HEALTH CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:BALTEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:989-654-2491
Mailing Address - Street 1:436 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HALE
Mailing Address - State:MI
Mailing Address - Zip Code:48739-9246
Mailing Address - Country:US
Mailing Address - Phone:989-728-2800
Mailing Address - Fax:989-728-2803
Practice Address - Street 1:436 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HALE
Practice Address - State:MI
Practice Address - Zip Code:48739-9246
Practice Address - Country:US
Practice Address - Phone:989-728-2800
Practice Address - Fax:989-654-2348
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STERLING AREA HEALTH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-10
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI231861Medicare Oscar/Certification