Prudenville Community Health Center – Family Medicine Physician, NPI 1952787129

Prudenville Community Health Center is a healthcare provider. based in Chicago, Illinois. specializing in Family Medicine Physician. The NPI Number for Prudenville Community Health Center is 1952787129

Main info

Organization
Name
Prudenville Community Health Center
NPI
1952787129
Phone
(989) 366-2900
Address
3779 MOMENTUM PL
Authorized Official
MICHAEL FRYE PRES. AMBULATORY & BUS. DEVELOPMENT MD
Enumeration Date
10 August 2015
Last Update Date
16 April 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness90
Years active:10State licenses:0Digital endpoints

Provider Addresses for Prudenville Community Health Center

  • 3779 MOMENTUM PL

    CHICAGO, IL 606895337

    Phone: (989) 366-2900

    Type: Mailing

  • 2585 W HOUGHTON LAKE DR

    PRUDENVILLE, MI 486519624

    Phone: (989) 366-2900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60689)

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Reviews

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Frequently asked questions

Does Prudenville Community Health Center have a public NPI I can cite?
Public records show Prudenville Community Health Center under NPI 1952787129.
Does the public listing show Prudenville Community Health Center as active?
Prudenville Community Health Center's NPI record reflects an active status in NPPES.
How should patients interpret Prudenville Community Health Center's specialty?
The extract shows Family Medicine Physician for Prudenville Community Health Center. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Prudenville Community Health Center?
Prudenville Community Health Center is associated with Chicago, Illinois in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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