| Organization Name: | BENZIE LEELANAU DISTRICT HEALTH DEPT |
| NPI Number: | 1366577686 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM A CRAWFORD (HEALTH OFFICER) |
| Mailing Address: | 6051 Frankfort Hwy Suite 100 Benzonia |
| State: | MI US |
| Postal Code: | 49616 |
| Phone Number: | 2318824409 |
| Fax Number: | 2318822204 |
| NPI Enumeration Date: | 02/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 4704147470 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |