GREAT LAKES RECOVERY CENTERS – NPI #1790558286
Clinic/Center

GREAT LAKES RECOVERY CENTERS is an AHC clinic located in NEGAUNEE, MI. NPPES has assigned the NPI number 1790558286 to GREAT LAKES RECOVERY CENTERS on November 06, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QR0405X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation, Substance Use Disorder

The NPI profile was last updated on Dec 05, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREAT LAKES RECOVERY CENTERS below.

NPI Profile for
GREAT LAKES RECOVERY CENTERS

NPI Number
1790558286
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREAT LAKES RECOVERY CENTERS
Primary location
100 MALTON RD STE 1
NEGAUNEE, MI 49866-2002
Phone: (906) 451-4889 Fax: (906) 228-8156
Mailing address
100 MALTON RD
NEGAUNEE, MI 49866-2001
Phone: (906) 228-9699 Fax: (888) 977-2109
Organization Subpart
Yes - GREAT LAKES RECOVERY CENTERS is subpart of another organization.
Authorized Official
LAURA GIUCHIN
SENIOR ACCOUNTANT
Phone: (906) 228-9699
Updated
Certification Date
Dec 05, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GREAT LAKES RECOVERY CENTERS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMI3272541
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.