St Clair County Community Mental Health South-Marine City – Community/Behavioral Health Agency, NPI 1821133265
Community/Behavioral Health Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for St Clair County Community Mental Health South-Marine City
135 BROADWAY ST
MARINE CITY, MI 480391607
Phone: (810) 765-5010
Type: Mailing
3111 ELECTRIC AVE
PORT HURON, MI 480608127
Phone: (810) 985-8900
Type: Mailing
6221 KING RD
MARINE CITY, MI 480391428
Phone: (810) 765-5010
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.
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-06-30 (346 days ago).
Enrollment records
3
Earliest due date
2025-06-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040209000604 | O | Clinic/Group Practice | MI | 2025-09-30 |
| O20040831000305 | O | Clinic/Group Practice | MI | 2025-10-31 |
| O20040901000060 | O | Clinic/Group Practice | MI | 2025-06-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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 48039)
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