DELTA-MENOMINEE DISTRICT HEALTH DEPARTMENT NPI 1467506758

NPI Information

NPI: 1467506758
Provider Name: DELTA-MENOMINEE DISTRICT HEALTH DEPARTMENT

Doing Business As: PUBLIC HEALTH, DELTA & MENOMINEE COUNTIES

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 23D2027759

Address:
909 10TH AVE
MENOMINEE, MI
ZIP 49858
Phone: (906) 863-4451
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DELTA-MENOMINEE DISTRICT HEALTH DEPARTMENT is a public health or welfare in Menominee, MI. DELTA-MENOMINEE DISTRICT HEALTH DEPARTMENT NPI is 1467506758. The provider is registered as an organization entity type.
The provider Is Doing Business As Public Health, Delta & Menominee Counties.

The provider's business location address is:

909 10TH AVE
MENOMINEE, MI
ZIP 49858-014
Phone: (906) 863-4451
Fax: (906) 863-7142

The provider's authorized official is John R Petrasky .
The authorized official title is Health Officer & Medical Director and has the following contact phone number (906) 786-8111.

The CLIA number assigned to this NPI record is 23D2027759 - public health laboratories with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/23/2007 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
1	251K00000X	Public Health or Welfare				Yes

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
1	02149321	OTHER	MICHIGAN	BCBS PIN

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

NPI Synchronization or Removal

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