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DISTRICT HEALTH DEPARTMENT NO. 4 NPI 1316167695


NPI Information

NPI: 1316167695
Provider Name: DISTRICT HEALTH DEPARTMENT NO. 4

Other Name: MATERNAL INFANT HEALTH PROGRAM

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
100 WOODS CIR
SUITE 200
ALPENA, MI
ZIP 49707
Phone: (989) 356-4507
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DISTRICT HEALTH DEPARTMENT NO. 4 is a public health or welfare in Alpena, MI. DISTRICT HEALTH DEPARTMENT NO. 4 NPI is 1316167695. The provider is registered as an organization entity type.
The provider Other Name Is Maternal Infant Health Program.

The provider's business location address is:

100 WOODS CIR
SUITE 200
ALPENA, MI
ZIP 49707-444
Phone: (989) 356-4507
Fax: (989) 356-3529

The provider's authorized official is John D Bruning .
The authorized official title is Administrative Health Officer and has the following contact phone number (989) 356-4507.

The enumeration date for this NPI number is 4/27/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251K00000XPublic Health or WelfareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11850360MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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