OrganizationActive
Walmart
NPI 1396195608 · Community/Behavioral Health Agency · Iron Mountain, MI
Provider details
- NPI number
- 1396195608
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Parent organization
- Walmart Pharmacy
- Organization subpart
- Yes
- Authorized official
- Leigh Dighera, Pharmacist(906) 779-4236
- License
- 5302033572 (MI)
Specialties & taxonomies
Agencies
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1920 S Stephenson Ave
Iron Mountain, MI 49801-3641
Phone: (906) 779-7187
Fax: (906) 779-3718
Street-level locationGet directions
Mailing address
1920 S Stephenson Ave
Iron Mountain, MI 49801-3641
Registry dates
- Enumerated
- 2016-06-16
- Last updated
- 2016-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.