| Organization Name: | JACKSON COUNTY |
| NPI Number: | 1780692400 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORNA PINSON (MEDICAL DIRECTOR) |
| Mailing Address: | 1715 Lansing Ave Ste 221 Jackson |
| State: | MI US |
| Postal Code: | 492022193 |
| Phone Number: | 5177884420 |
| Fax Number: | 5177884373 |
| NPI Enumeration Date: | 08/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 4301053445 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |