LUCE-MACKINAC HEALTH DEPARTMENT NPI 1578691242

NPI Information

NPI: 1578691242
Provider Name: LUCE-MACKINAC HEALTH DEPARTMENT
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
14150 HAMILTON LAKE ROAD
NEWBERRY, MI
ZIP 49868
Phone: (906) 293-5107
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LUCE-MACKINAC HEALTH DEPARTMENT is a public health or welfare in Newberry, MI. LUCE-MACKINAC HEALTH DEPARTMENT NPI is 1578691242. The provider is registered as an organization entity type.

The provider's business location address is:

14150 HAMILTON LAKE ROAD
NEWBERRY, MI
ZIP 49868
Phone: (906) 293-5107
Fax: (906) 293-5453

The provider's authorized official is Nicholas P Derusha .
The authorized official title is Health Officer and has the following contact phone number (906) 293-5107.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 8/29/2012.

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
1	1850341	MEDICAID	MICHIGAN
2	5100591	MEDICAID	MICHIGAN
3	2789149	MEDICAID	MICHIGAN
4	0M05360	MEDICARE UPIN	MICHIGAN
5	2789130	MEDICAID	MICHIGAN
6	5100608	MEDICAID	MICHIGAN
7	1498334	MEDICAID	MICHIGAN
8	5100582	MEDICAID	MICHIGAN
9	2789120	MEDICAID	MICHIGAN
10	5100573	MEDICAID	MICHIGAN

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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