Upper Great Lakes Family Health Center
NPI 1104158690 · Federally Qualified Health Center (FQHC) · Gwinn, MI
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Upper Great Lakes Family Health Center is a Federally Qualified Health Center (FQHC) organization in Gwinn, MI (NPI 1104158690).
Provider details
- NPI number
- 1104158690
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Trevor Hodges, Ceo(906) 483-1846
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Other names (DBA / former)
- Doing business as
- Gwinn Family Health Center
- Doing business as
- Gwinn Family Health Center
Registry dates
- Enumerated
- 2010-02-08
- Last updated
- 2026-05-13
- Certified
- 2026-05-13
Frequently asked questions
- What is Upper Great Lakes Family Health Center's NPI number?
- Upper Great Lakes Family Health Center's National Provider Identifier (NPI) is 1104158690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Upper Great Lakes Family Health Center?
- Upper Great Lakes Family Health Center is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Upper Great Lakes Family Health Center located?
- Upper Great Lakes Family Health Center's practice location on file with NPPES is 135 East M 35, Gwinn, MI 49841-9159.
- What is Upper Great Lakes Family Health Center's phone number?
- The practice phone number listed in the NPPES registry for Upper Great Lakes Family Health Center is (906) 346-9275.
- Does Upper Great Lakes Family Health Center accept Medicare?
- Upper Great Lakes Family Health Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Upper Great Lakes Family Health Center?
- The authorized official listed on Upper Great Lakes Family Health Center's NPPES record is Trevor Hodges, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Upper Great Lakes Family Health Center's NPI active?
- Yes — Upper Great Lakes Family Health Center's NPI (1104158690) is active in the NPPES registry as of the last update on 2026-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.