Provider Demographics
NPI:1871478438
Name:UPPER PENINSULA HEALTH CARE SOLUTIONS, INC.
Entity type:Organization
Organization Name:UPPER PENINSULA HEALTH CARE SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:JOHANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:NOVAK
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:906-225-1187
Mailing Address - Street 1:853 W WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-4139
Mailing Address - Country:US
Mailing Address - Phone:906-225-1187
Mailing Address - Fax:
Practice Address - Street 1:853 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-4139
Practice Address - Country:US
Practice Address - Phone:906-225-1187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable