Prime Healthcare Services-Port Huron LLC
NPI 1912525361 · Certified Registered Nurse Anesthetist · Port Huron, MI
Enrolled with Medicare as Part B Supplier - Hospital Department(s) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prime Healthcare Services-Port Huron LLC is a Certified Registered Nurse Anesthetist organization in Port Huron, MI (NPI 1912525361).
Provider details
- NPI number
- 1912525361
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Christopher Fulks, Cfo(810) 216-1361
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
- Lake Huron Medical Center
Additional practice locations (1)
- 4190 24th AveFort Gratiot, MI 48059-3882Phone: (810) 216-1500
Registry dates
- Enumerated
- 2020-07-13
- Last updated
- 2020-07-13
- Certified
- 2020-07-13
Frequently asked questions
- What is Prime Healthcare Services-Port Huron LLC's NPI number?
- Prime Healthcare Services-Port Huron LLC's National Provider Identifier (NPI) is 1912525361, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Healthcare Services-Port Huron LLC?
- Prime Healthcare Services-Port Huron LLC is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Prime Healthcare Services-Port Huron LLC located?
- Prime Healthcare Services-Port Huron LLC's practice location on file with NPPES is 2601 Electric Ave, Port Huron, MI 48060-6587.
- What is Prime Healthcare Services-Port Huron LLC's phone number?
- The practice phone number listed in the NPPES registry for Prime Healthcare Services-Port Huron LLC is (810) 216-1500.
- Does Prime Healthcare Services-Port Huron LLC accept Medicare?
- Prime Healthcare Services-Port Huron LLC 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 Prime Healthcare Services-Port Huron LLC?
- The authorized official listed on Prime Healthcare Services-Port Huron LLC's NPPES record is Christopher Fulks, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Healthcare Services-Port Huron LLC's NPI active?
- Yes — Prime Healthcare Services-Port Huron LLC's NPI (1912525361) is active in the NPPES registry as of the last update on 2020-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.