GRAND TRAVERSE COUNTY HEALTH DEPARTMENT (NPI# 1528382538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528382538 |
| Entity Type | Organization |
| Organization Name | GRAND TRAVERSE COUNTY HEALTH DEPARTMENT |
| Other Organization Name | K-TOWN YOUTH CARE |
| Practice Address |
112 S Brownson Ave Kingsley MI 49649 |
| Mailing Address |
2600 Lafranier Rd Ste A Traverse City MI 49686-4765 |
| Practice Telephone | 2312635895 |
| Mailing Telephone | 2319956111 |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2016-09-12 |
| Authorized Official Name | ERIN CARLSON (ACCOUNTING TECHNICIAN) |
| Authorized Official Telephone | 2319956103 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRAND TRAVERSE COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| K-Town Youth Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801074646 | Grand Traverse County Health Department | Preventive Medicine | 2325 Garfield Rd N, Traverse City, MI 49686-5178 | 2008-02-04 |
| 1538347372 | Grand Traverse County Health Department | Preventive Medicine | 2600 Lafranier Rd Ste A, Traverse City, MI 49686-4765 | 2008-02-04 |
| Street Address |
112 S BROWNSON AVE |
| City | KINGSLEY |
| State | MI |
| Zip Code | 49649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346742053 | Carlene Brown | Physical Therapist | 850 Brewster Trl, Kingsley, MI 49649 | 2018-03-08 |
| 1063926756 | Cheryl Sue Dann | Social Worker | 2283 M-113 E, Kingsley, MI 49649 | 2017-11-17 |
| 1386168854 | Lori Rachelle Metcalf-rodes | Counselor | 5081 Walton Road, Kingsley, MI 49649 | 2017-07-27 |
| 1356891865 | David Erik Richard Burke | Dentist | 116 W Main St., Kingsley, MI 49649 | 2016-10-07 |
| 1366766081 | Kimberly Anne Michels | Nurse Practitioner | 112 S. Brownson Ave, Kingsley, MI 49649 | 2010-03-24 |
| 1477739571 | Rnc Medical Supplies | Durable Medical Equipment & Medical Supplies | 9437 Church St, Kingsley, MI 49649 | 2008-01-18 |
| 1740369446 | The Lighthouse - Traverse City, LLC | Clinic/Center | 4140 Beacon St, Kingsley, MI 49649 | 2006-11-03 |
| 1568842052 | Anna Cox | Registered Nurse | 2283 E M 113, Kingsley, MI 49649 | 2015-06-01 |
| 1649359316 | The Lighthouse - Traverse City, LLC | Custodial Care Facility | 4140 Beacon St, Kingsley, MI 49649 | 2006-11-03 |
| 1558381509 | Michael Zaleski | Pharmacist | 114 S. Brownson Ave, Kingsley, MI 49649-0247 | 2006-07-20 |
| Find all providers in zip 49649 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730664 | Edward W. Sparrow Hospital Association | Clinic/Center | 2900 Hannah Blvd Ste 204, East Lansing, MI 48823-5382 | 2020-11-03 |
| 1952909558 | Quilted Rose Clinical Services, Pllc | Clinic/Center | 269 Walker St Ste 256, Detroit, MI 48207-4258 | 2020-10-15 |
| 1386250694 | A Better Me Therapy, LLC | Clinic/Center | 2503 S Linden Rd Ste 259, Flint, MI 48532-5462 | 2020-09-22 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1659985042 | Passion and Purpose Pediatrics | Clinic/Center | 2944 Olden Oak Ln Apt 204, Auburn Hills, MI 48326-2177 | 2020-09-02 |
| 1710597745 | Renew Child and Family Center | Clinic/Center | 383 Starkweather St, Plymouth, MI 48170-1382 | 2020-08-04 |
| 1467075358 | Shear Pointe Inc | Clinic/Center | 1971 E 14 Mile Rd, Birmingham, MI 48009-7244 | 2020-05-26 |
| 1992326466 | New Healthcare PC | Clinic/Center | 911 Dix St Ste B, Otsego, MI 49078-1609 | 2020-05-06 |
| 1851920581 | Emotional Wellness Group LLC | Clinic/Center | 11956 E Outer Dr, Detroit, MI 48224-2630 | 2020-04-04 |
| 1003445800 | Dr. Chris Popp, PC | Clinic/Center | 107 Aprill Dr Ste 5, Ann Arbor, MI 48103-1956 | 2020-04-03 |
| Find all providers with the same taxonomy | ||||
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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.