Organization Name: | COUNTY OF BERRIEN MICHIGAN |
NPI Number: | 1326005109 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL A MORTIMORE (HEALTH OFFICER) |
Mailing Address: | 769 Pipestone St Benton Harbor |
State: | MI US |
Postal Code: | 490224815 |
Phone Number: | 2699267121 |
Fax Number: | 2699268129 |
NPI Enumeration Date: | 04/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 4301038022 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |