| Organization Name: | COUNTY OF INGHAM |
| NPI Number: | 1013299130 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUSSELL KOLSKI (DHO / ED) |
| Mailing Address: | 901 E Mount Hope Ave Upper Level Lansing |
| State: | MI US |
| Postal Code: | 489103279 |
| Phone Number: | 5172673400 |
| Fax Number: | 5173729188 |
| NPI Enumeration Date: | 09/14/2011 |
| NPI Last Update Date: | 05/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |