Organization Name: | VAN BUREN CASS DISTRICT PUBLIC HEALTH DEPARTMENT |
NPI Number: | 1336358159 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFERY L ELLIOTT (HEALTH OFFICER ADMINISTRATOR) |
Mailing Address: | 201 M 62 Cassopolis |
State: | MI US |
Postal Code: | 490311034 |
Phone Number: | 2694455280 |
Fax Number: | 2694455278 |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |