NPIMap

Organization Active NPI

County of St Clair

Doing business as St Clair County Health Department

  • Public Health or Welfare Agency
  • Port Huron, MI
National Provider Identifier
1053408948
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF ST CLAIR
Doing business as
St Clair County Health Department
Practice address
220 Fort St
Port Huron, MI 48060-3850
Phone
(810) 987-5300
Fax
(810) 985-2150
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Greg Brown
Title
Administrator
Phone
(810) 987-5300

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0001X 2901011180 MI
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X AM051181 MI
Public Health or Welfare Agency 251K00000X Primary
Non-Surgical Family Planning Clinic/Center 261QF0050X

Addresses

Primary practice location

220 Fort St
Port Huron, MI 48060-3850

Mailing address

220 Fort St
Port Huron, MI 48060-3850
Phone (810) 987-5300

Other identifiers 15

IdentifierTypeStateIssuer
133579MedicaidMI
5100911MedicaidMI
2777362MedicaidMI
1905931MedicaidMI
5100949MedicaidMI
2896309MedicaidMI
1940879MedicaidMI
2776481MedicaidMI
1940850MedicaidMI
4579060MedicaidMI
4750831MedicaidMI
2878033MedicaidMI
4046170MedicaidMI
5100902MedicaidMI
56565BOtherMIHEALTH ALLIANCE PLAN

Other names 1

  • St Clair County Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040419001403 MI Part B Supplier - Clinic/Group Practice 3577558436 Receives reassigned benefits from 1 practitioner
Practice locations: Port Huron, MI

National Provider Directory

National Provider Directory
Tax ID family
River District Hospital6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

555 E Huron Blvd
Marysville, MI 48040

541 N Glassford St
Mussey, MI 48014

220 Fort St
Port Huron, MI 48060
Phone (810) 987-5300

3415 28th St
Port Huron, MI 48060
Phone (810) 987-5300

140 S Main St
Yale, MI 48097
Phone (810) 387-3293

198 School Dr
Yale, MI 48097
Phone (810) 966-4169

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1053408948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FORT ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603850",
            "telephone_number": "810-987-5300",
            "fax_number": "810-985-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FORT ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603850",
            "telephone_number": "810-987-5300",
            "fax_number": "810-985-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ST CLAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "810-987-5300"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "MI",
            "license": "2901011180",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "AM051181",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133579",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5100911",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2777362",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1905931",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5100949",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2896309",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1940879",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2776481",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1940850",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4579060",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4750831",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2878033",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4046170",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5100902",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "56565B",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Clair County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.