Organization Name: | VAN BUREN CASS DISTRICT PUBLIC HEALTH DEPT |
NPI Number: | 1740402312 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFERY L ELLIOTT (HEALTH OFFICER ADMINISTRATOR) |
Mailing Address: | 57418 County Road 681 Hartford |
State: | MI US |
Postal Code: | 490579421 |
Phone Number: | 2696213143 |
Fax Number: | 2696212725 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/09/2007 |
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: |