Union High School Health Center – Federally Qualified Health Center (FQHC), NPI 1982764643

Union High School Health Center is a healthcare provider. based in Grand rapids, Michigan. specializing in Federally Qualified Health Center (FQHC). The organization holds a License No. 4301056818 (MI). The NPI Number for Union High School Health Center is 1982764643

Main info

Organization
Name
Union High School Health Center
NPI
1982764643
Phone
(616) 965-8200
Address
100 CHERRY ST SE
Authorized Official
TASHA BLACKMON CEO
Enumeration Date
11 December 2006
Last Update Date
25 August 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness80
Years active:19State licenses:2Digital endpointsUpdated within 12 months

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Provider Addresses for Union High School Health Center

  • 100, Cherry Street Southeast, Heritage Hill Historic District, Grand Rapids, Kent County, Michigan, 49503, United States

    GRAND RAPIDS, MI 495034526

    Phone: (616) 965-8200

    Fax: (616) 940-5366

    Type: Mailing

  • 1800, Tremont Boulevard Northwest, Grand Rapids, Kent County, Michigan, 49504, United States

    GRAND RAPIDS, MI 495044868

    Phone: (616) 791-6593

    Fax: (616) 791-6729

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-12-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (924 days ago).

Enrollment records

1

Earliest due date

2023-11-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20131205001930OFederally Qualified Health Center (Fqhc)MI2023-11-30

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.

Verify on CMS Revalidation Lookup Tool

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 49503)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Union High School Health Center?
Union High School Health Center — NPI 1982764643 — is the standard way to identify this listing.
Is Union High School Health Center still practicing?
Union High School Health Center is currently listed as active in the public NPI registry.
What is Union High School Health Center's primary classification?
Federally Qualified Health Center (FQHC) is the headline specialty for Union High School Health Center here. Clinical services aligned with this taxonomy classification.
What address line appears for Union High School Health Center?
Union High School Health Center's geographic hint is Grand Rapids, Michigan in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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