JACKSON COUNTY (NPI# 1073032355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073032355 |
| Entity Type | Organization |
| Organization Name | JACKSON COUNTY |
| Other Organization Name | JACKSON COUNTY HEALTH DEPARTMENT |
| Practice Address |
1715 Lansing Ave Jackson MI 49202-2193 |
| Practice Telephone | 5177884420 |
| Practice Fax Number | 5177884373 |
| Mailing Telephone | 5177884420 |
| Mailing Fax Number | 5177884373 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |
| Authorized Official Name | MR. RICHARD THOUNE (MEDICAL OFFICER) |
| Authorized Official Telephone | 5177681658 |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF JACKSON |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 77279528 | 05 |
| Other Name | Type Code |
|---|---|
| Jackson County Health Department | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437260528 | Jackson County | Secured Medical Transport (VAN) | 520 N University Ave, Carbondale, IL 62901-1375 | 2006-08-31 |
| 1780692400 | Jackson County | Preventive Medicine | 1715 Lansing Ave, Jackson, MI 49202-2193 | 2006-08-05 |
| 1508193046 | Jackson County | Case Management | 1715 Lansing Ave, Suite 672, Jackson, MI 49202-2192 | 2009-11-04 |
| 1831294461 | Jackson County | Clinic/Center | 415 Health Department Rd, Murphysboro, IL 62966-6108 | 2006-09-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JACKSON COUNTY | 415 E 12th St, Kansas City, MO 64106-2706 |
| Oregon Corporations, Companies and Business Names | JACKSON COUNTY 4-H ASSOCIATION | Jackson County Extension Office, 569 Hanley Rd, Central Point, OR 97502 |
| Oregon Corporations, Companies and Business Names | JACKSON COUNTY 4-H FFA JR. LIVESTOCK AUCTION COMMITTEE | 280 Worthington Road, Eagle Point, OR 97524 |
| System for Award Management (SAM) Entities | JACKSON COUNTY ABSTRACT & TITLE GUARANTEE CO | 110 S 11th St, Murphysboro, IL 62966-2639 |
| Oregon Corporations, Companies and Business Names | JACKSON COUNTY ACCOUNTING AND TAX SERVICE | 1128 W Main St, Medford, OR 97501 |
| Oregon Corporations, Companies and Business Names | JACKSON COUNTY ACCOUNTING AND TAX SERVICES | 1128 W Main St, Medford, OR 97501 |
| System for Award Management (SAM) Entities | JACKSON COUNTY AIRPORT AUTHORITY | 1000 Terminal Loop Pkwy Ste 201, Medford, OR 97504-4155 |
| Oregon Corporations, Companies and Business Names | JACKSON COUNTY AMATEUR RADIO EMERGENCY SERVICE | 311 Sheridan St, Ashland, OR 97520 |
| System for Award Management (SAM) Entities | JACKSON COUNTY AMBULANCE SERVICE | 1035 Mccannon Ridge Rd, Mc Kee, KY 40447-6320 |
| Indiana Business Entities | JACKSON COUNTY ANTIQUE MACHINERY ASSN., INC. | 12877 E Co Rd 200 S, Crothersville, IN 47229 |
| Street Address |
1715 LANSING AVE |
| City | JACKSON |
| State | MI |
| Zip Code | 49202-2193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780692400 | Jackson County | Preventive Medicine | 1715 Lansing Ave, Jackson, MI 49202-2193 | 2006-08-05 |
| 1518330992 | Smiles On Wheels | Clinic/Center | 1715 Lansing Ave, Room 261, Jackson, MI 49202-2192 | 2015-11-05 |
| 1801123963 | Jennifer Dawn Guthrie | Counselor | 1715 Lansing Ave, Suite 672, Jackson, MI 49202-2192 | 2009-11-11 |
| 1508193046 | Jackson County | Case Management | 1715 Lansing Ave, Suite 672, Jackson, MI 49202-2192 | 2009-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
| Find all providers in zip 49202 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023644135 | Leslie Sue Krantz | Case Manager/Care Coordinator | 8431 Oakpoint Dr, Jackson, MI 49201-9229 | 2020-03-20 |
| 1669008405 | Alt Best Practices Bhom2, LLC | Case Manager/Care Coordinator | 81 Crooked Stick Rd, Jackson, NJ 08527-4032 | 2020-03-12 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1336601459 | Richard Daniel Bryant | Case Manager/Care Coordinator | 950 W Monroe St Ste 600a, Jackson, MI 49202-2079 | 2019-04-05 |
| 1013478643 | Makeshia Warden | Case Manager/Care Coordinator | 655 Pine Ln, Jackson, MS 39212-3563 | 2019-03-27 |
| 1053893792 | Allison Brynne Liljestrom | Case Manager/Care Coordinator | 355 Arapahoe Ln, Jackson, WY 83001-8607 | 2018-08-29 |
| 1033691845 | Debra Ann Hathcock | Case Manager/Care Coordinator | 724 W Snow King Ave # 7825, Jackson, WY 83001-8498 | 2018-08-29 |
| 1053809053 | Natasha W Tyler | Case Manager/Care Coordinator | 5615 Brentwood Dr, Jackson, MS 39211-4233 | 2018-04-25 |
| 1245690924 | Darlene Bell | Case Manager/Care Coordinator | 546 Clydes Way, Jackson, GA 30233-1891 | 2016-02-24 |
| 1598134256 | Theodore Weber Shoaf | Case Manager/Care Coordinator | 3405 S Winding Trail Dr, Jackson, WY 83001-9257 | 2015-09-23 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.