OrganizationActive
Provemont Family Care, PLC
NPI 1013109214 · Primary Care Clinic/Center · Lake Leelanau, MI
Provider details
- NPI number
- 1013109214
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dona Alba, President(231) 256-0606
- License
- 5101016681 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
49 N Eagle Hwy
Lake Leelanau, MI 49653-9778
Phone: (231) 256-0606
Fax: (231) 256-0671
Street-level locationGet directions
Mailing address
Po Box 180
Lake Leelanau, MI 49653-0180
Registry dates
- Enumerated
- 2007-08-13
- Last updated
- 2007-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.