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Grand Lake Health Center LLC

Family Nurse Practitioner in Alpena, MI · enumerated 2013 · authorized official Coreen Williams, Executive Director/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669712907

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Registry record

Entity type Organization (Type 2)
Legal business name Grand Lake Health Center LLC
Other name <Unavail>
Practice address 1691 M 32 W, Suite 300, Alpena, MI, 49707
Fax (989) 354-0880
Enumeration date Feb 24, 2013
Last updated in NPPES Jun 17, 2013

Taxonomy & classification

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 4704151039 (MI) Primary

Authorized official

Name Coreen Williams
Title Executive Director/Owner

Other identifiers

Identifier Type State Issuer
11905624 Other MI CAQH
0870556 Other MI BCBSM
500027624 Other MI RAILROAD MEDICARE
7000525321 Other MI PRIORITY HEALTH
4485877 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Grand Lake Health Center LLC?
Grand Lake Health Center LLC is registered in NPPES as a Family Nurse Practitioner (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-06-17.