Active NPI
District Health Department No. 4
- Public Health or Welfare Agency
- Alpena, MI
National Provider Identifier
1043430333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- DISTRICT HEALTH DEPARTMENT NO. 4
- Practice address
- 100 Woods Cir
Suite 200
Alpena, MI 49707-1444 - Phone
- (989) 356-4507
- Fax
- (989) 356-3529
- NPI assigned
- Apr 27, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John D Bruning, RS MBA
- Title
- Administrative Health Officer
- Phone
- (989) 356-4507
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
100 Woods Cir
Suite 200
Alpena, MI 49707-1444
Mailing address
100 Woods Cir
Suite 200
Alpena, MI 49707-1444
Phone (989) 356-4507
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5101365 | Medicaid | MI | |
| 5101374 | Medicaid | MI |
Other names 1
- Family Planning
National Provider Directory
National Provider Directory- Tax ID family
- District Health Department No 4
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Alpena, MI
- NPI 1134349426
-
- Public Health or Welfare Agency
- Alpena, MI
- NPI 1316167695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043430333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WOODS CIR",
"address_2": "SUITE 200",
"city": "ALPENA",
"state": "MI",
"postal_code": "497071444",
"telephone_number": "989-356-4507",
"fax_number": "989-356-3529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WOODS CIR",
"address_2": "SUITE 200",
"city": "ALPENA",
"state": "MI",
"postal_code": "497071444",
"telephone_number": "989-356-4507",
"fax_number": "989-356-3529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISTRICT HEALTH DEPARTMENT NO. 4",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRUNING",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "ADMINISTRATIVE HEALTH OFFICER",
"authorized_official_telephone_number": "989-356-4507",
"authorized_official_credential": "RS MBA"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5101365",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5101374",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Planning",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Alpena, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.