OrganizationActive
Blue Water Medical PLLC
NPI 1336409192 · Clinic/Center · Port Huron, MI
Blue Water Medical PLLC is a Clinic/Center organization in Port Huron, MI (NPI 1336409192).
Provider details
- NPI number
- 1336409192
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marcus Free, President/Member(810) 479-4769
- License
- 4301093347 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
511 Fort St
Suite 102
Port Huron, MI 48060-3922
Phone: (810) 479-4769
Fax: (888) 414-4545
Street-level locationGet directions
Mailing address
511 Fort St
Port Huron, MI 48060-3922
Registry dates
- Enumerated
- 2012-05-25
- Last updated
- 2012-05-25
Frequently asked questions
- What is Blue Water Medical PLLC's NPI number?
- Blue Water Medical PLLC's National Provider Identifier (NPI) is 1336409192, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Water Medical PLLC?
- Blue Water Medical PLLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Blue Water Medical PLLC located?
- Blue Water Medical PLLC's practice location on file with NPPES is 511 Fort St, Port Huron, MI 48060-3922.
- What is Blue Water Medical PLLC's phone number?
- The practice phone number listed in the NPPES registry for Blue Water Medical PLLC is (810) 479-4769.
- Who is the authorized official for Blue Water Medical PLLC?
- The authorized official listed on Blue Water Medical PLLC's NPPES record is Marcus Free, President/Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Water Medical PLLC's NPI active?
- Yes — Blue Water Medical PLLC's NPI (1336409192) is active in the NPPES registry as of the last update on 2012-05-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.