Prime Healthcare Services-Port Huron LLC
NPI 1912525361ActiveOrganization· Nurse Anesthetist, Certified Registered· Port Huron, MI
Nurse Anesthetist, Certified Registered in Port Huron, Michigan, registered in NPPES in July 2020. The authorized official on file is Christopher Scott Fulks, Cfo. Enrolled in Medicare as part b supplier - hospital department(s).
Overview
| NPI | 1912525361 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 13, 2020 |
| Last updated in NPPES | Jul 13, 2020 |
| Certified by provider | Jul 13, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Hospital Department(S) (MI) |
|---|
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