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GRAND TRAVERSE COUNTY HEALTH DEPARTMENT NPI 1528382538


NPI Information

NPI: 1528382538
Provider Name: GRAND TRAVERSE COUNTY HEALTH DEPARTMENT

Doing Business As: K-TOWN YOUTH CARE

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 23D1090001

Address:
112 S BROWNSON AVE
KINGSLEY, MI
ZIP 49649
Phone: (231) 263-5895
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GRAND TRAVERSE COUNTY HEALTH DEPARTMENT is a clinic center in Kingsley, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GRAND TRAVERSE COUNTY HEALTH DEPARTMENT NPI is 1528382538. The provider is registered as an organization entity type.
The provider Is Doing Business As K-town Youth Care.

The provider's business location address is:

112 S BROWNSON AVE
KINGSLEY, MI
ZIP 49649
Phone: (231) 263-5895

The provider's authorized official is Erin Carlson .
The authorized official title is Accounting Technician and has the following contact phone number (231) 995-6103.

The CLIA number assigned to this NPI record is 23D1090001 - public health laboratories with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/19/2010 and was last updated on 9/12/2016.


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
1261Q00000XClinic/CenterYes

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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