Organization Active NPI

Muskegon County Health Department

  • Public Health or Welfare Agency
  • Muskegon, MI
National Provider Identifier
1053490813
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MUSKEGON COUNTY HEALTH DEPARTMENT
Practice address
1903 Marquette Ave Ste S101
Muskegon, MI 49442-1460
Phone
(231) 724-6208
Fax
(231) 724-6674
NPI assigned
Nov 3, 2006
Last updated
Jan 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
Mrs. Kathy Moore, MPA
Title
Health Officer
Phone
(231) 724-1232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

1903 Marquette Ave Ste S101
Muskegon, MI 49442-1460

Mailing address

1903 Marquette Ave Ste S101
Muskegon, MI 49442-1460
Phone (231) 724-6208

Other identifiers 2

IdentifierTypeStateIssuer
99198OtherMIBCCCP
1930710MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Muskegon County CMHS11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

1903 Marquette Ave
Ste S101
Muskegon, MI 49442
Phone (231) 724-6208

209 E Apple Ave
Muskegon, MI 49442
Phone (231) 724-4415

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1053490813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 MARQUETTE AVE STE S101",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494421460",
            "telephone_number": "231-724-6208",
            "fax_number": "231-724-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 MARQUETTE AVE STE S101",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494421460",
            "telephone_number": "231-724-6208",
            "fax_number": "231-724-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSKEGON COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "231-724-1232",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCCCP",
            "identifier": "99198",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1930710",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.