BENZIE LEELANAU DISTRICT HEALTH DEPT (NPI# 1639294838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639294838 |
Entity Type | Organization |
Organization Name | BENZIE LEELANAU DISTRICT HEALTH DEPT |
Practice Address |
6051 Frankfort Hwy Suite 100 Benzonia MI 49616 |
Practice Telephone | 2318824409 |
Practice Fax Number | 2318822204 |
Mailing Telephone | 2318824409 |
Mailing Fax Number | 2318822204 |
Enumeration Date | 2007-03-20 |
Last Update Date | 2016-01-20 |
Authorized Official Name | MRS. LISA PEACOCK (HEALTH OFFICER) |
Authorized Official Telephone | 2318822212 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251K00000X | Public Health or Welfare | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 774682606 | 05 | |
MI | MEDICAID HMO | 4682606 | 01 |
MI | MOLINA HEALTH CARE OF MI | 4682606 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881719086 | Benzie Leelanau District Health Dept | Clinic/Center | 6051 Frankfort Hwy, Suite 100, Benzonia, MI 49616 | 2007-03-20 |
1366577686 | Benzie Leelanau District Health Dept | Public Health or Welfare | 6051 Frankfort Hwy, Suite 100, Benzonia, MI 49616 | 2007-02-23 |
Street Address |
6051 FRANKFORT HWY SUITE 100 |
City | BENZONIA |
State | MI |
Zip Code | 49616 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457351751 | Janis Lyn Frazee | Nurse Practitioner | 6051 Frankfort Hwy, Suite 100, Benzonia, MI 49616-9558 | 2005-07-28 |
1275178972 | Asia Lopez-chard | Social Worker | 6051 Frankfort Hwy, Benzonia, MI 49616-9558 | 2019-11-18 |
1013552710 | Heather Messer | Social Worker | 6051 Frankfort Hwy, Benzonia, MI 49616-9558 | 2019-11-18 |
1629619366 | Payton R Burns | Behavior Technician | 6051 Frankfort Hwy, Benzonia, MI 49616-9558 | 2019-10-03 |
1831746742 | Connie M Brem | Social Worker | 6051 Frankfort Hwy, Benzonia, MI 49616-9558 | 2019-08-26 |
1306403647 | Ashley K Knox | Behavior Technician | 6051 Frankfort Hwy, Benzonia, MI 49616-9558 | 2019-05-22 |
1255995130 | Kandi J Mckenzie | Counselor | 6051 Frankfort Hwy, Benzonia, MI 49616-9558 | 2019-04-26 |
1508420845 | Christine M O'keefe | Counselor | 6051 Frankfort Hwy, Benzonia, MI 49616-9558 | 2019-04-23 |
1407319767 | Nicole Shively | Dental Hygienist | 6051 Frankfort Hwy, Benzonia, MI 49616-9558 | 2019-04-12 |
1942779970 | Hannah Wallaker | Behavior Technician | 6051 Frankfort Hwy, Benzonia, MI 49616-9558 | 2018-11-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154725034 | The Homesteader, Inc. | Assisted Living Facility | 7953 Love Rd, Benzonia, MI 49616 | 2014-10-21 |
1972828465 | Robert Edwayne Bodell | Counselor | 8137 Love Road, Benzonia, MI 49616 | 2010-03-29 |
1881880136 | Susan Reeder Breuer | Psychologist | 6350 Ridge Dr, #13, Benzonia, MI 49616 | 2007-09-20 |
1043363880 | Janine Felice-johnson | Chiropractor | 6635 North St, Benzonia, MI 49616 | 2007-01-18 |
1518361401 | West Michigan Home Care, Inc | Home Health | 7953 Love Rd, Benzonia, MI 49616 | 2014-10-21 |
1699829556 | Northwest Synergy Inc. | Pharmacy | 1693 Benzie Hwy, Benzonia, MI 49616-0060 | 2007-01-22 |
1497822761 | Murpharm Inc | Pharmacy | 1747 Benzie Hwy, Benzonia, MI 49616-8600 | 2006-11-29 |
1508481235 | Christopher Laninga | Physician Assistant | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 | 2020-06-09 |
1962042796 | Lara Gavaldon | Physician Assistant | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 | 2020-01-09 |
1447759097 | Lindsey Banktson | Physician Assistant | 6227 Frankfort Hwy, Benzonia, MI 49616-8632 | 2018-02-09 |
Find all providers in zip 49616 |
Taxonomy Code | 251K00000X |
Grouping | Agencies |
Classification | Public Health or Welfare |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710005889 | Benzie-leelanau District Health Department | Public Health or Welfare | 6051 Frankfort Hwy, Suite 100, Benzonia, MI 49616-9558 | 2007-03-27 |
1154449221 | Benzie-leelanau District Health Department | Public Health or Welfare | 6051 Frankfort Hwy, Suite 100, Benzonia, MI 49616-9558 | 2007-03-27 |
1366577686 | Benzie Leelanau District Health Dept | Public Health or Welfare | 6051 Frankfort Hwy, Suite 100, Benzonia, MI 49616 | 2007-02-23 |
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1952817389 | With Mom In Mind,llc | Public Health or Welfare | 18501 West Mile Road, Southfield, MI 48075 | 2017-12-21 |
1811429798 | Mizpah Group Home Inc | Public Health or Welfare | 24375 Lafayette Cir, Southfield, MI 48075-2560 | 2017-03-30 |
1659823102 | Trinity Mihp | Public Health or Welfare | 16821 Mark Twain St, Detroit, MI 48235-4066 | 2016-11-01 |
1497105225 | Anemanuheir, LLC. | Public Health or Welfare | 445 King St, Detroit, MI 48202-2130 | 2016-06-13 |
1225485329 | Creating Opportunities for Infants Children and Expectant Mothers | Public Health or Welfare | 12150 Schaefer Hwy, Apt 108, Detroit, MI 48227-3491 | 2016-05-18 |
1073976239 | Macomb Children's Healthcare Access Program | Public Health or Welfare | 11370 Hupp Ave, Warren, MI 48089-2505 | 2016-04-04 |
1447611967 | Loving Mothers | Public Health or Welfare | 52962 Wendover Dr, Shelby Twp, MI 48316-2965 | 2016-03-10 |
1104285162 | Royalty Home Care Services LLC | Public Health or Welfare | 25 S Norton St, New Buffalo, MI 49117-1147 | 2016-02-18 |
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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.