District Health Department No 2

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

658610 Issued in MI

Legal business name

DISTRICT HEALTH DEPARTMENT NO 2

Practice address

630 Progress St
West Branch, MI 48661-8603

Phone

(989) 343-1808

Fax

(989) 343-1897

NPI assigned

Nov 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Max C Tobin, RN

Title

Home Health Services Director

Phone

(989) 343-1808

Specialties & licenses 1

Addresses

Other identifiers 3

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1013086313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PROGRESS ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486618603",
            "telephone_number": "989-343-1808",
            "fax_number": "989-343-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 PROGRESS ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486618603",
            "telephone_number": "989-343-1808",
            "fax_number": "989-343-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT HEALTH DEPARTMENT NO 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "HOME HEALTH SERVICES DIRECTOR",
        "authorized_official_telephone_number": "989-343-1808",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "658610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH CARE MCLAREN",
            "identifier": "203977",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH CARE BCBS",
            "identifier": "0E052",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5173874",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guy Dean, R. PH.
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• Elizabeth Dekryger, PA
• Diagnostic Imaging of West Branch PC
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• District Health Department No. 2
• District Health Department No. 2
• District Health Department No. 2
• District Health Department No. 2
• District Health Department No. 2

• Home Health Agency in West Branch, MI
• Providers in West Branch, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.