NPIMap

Organization Active NPI

Benzie-Leelanau District Health Department

  • Public Health or Welfare Agency
  • Benzonia, MI
National Provider Identifier
1154449221
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
4301028725 Issued in MI
Legal business name
BENZIE-LEELANAU DISTRICT HEALTH DEPARTMENT
Practice address
6051 Frankfort Hwy
Suite 100
Benzonia, MI 49616-9558
Phone
(231) 882-4409
Fax
(231) 882-2204
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Mr. Daniel R. Thorell Jr., MSA
Title
Health Officer
Phone
(231) 882-2102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 4301028725 MI Primary

Addresses

Primary practice location

6051 Frankfort Hwy
Suite 100
Benzonia, MI 49616-9558

Mailing address

6051 Frankfort Hwy
Suite 100
Benzonia, MI 49616-9558
Phone (231) 882-4409

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120411000682 MI Part B Supplier - Mass Immunization (Roster Biller Only) 0648431049 Practice locations: Benzonia, MI; Lake Leelanau, MI

National Provider Directory

National Provider Directory
Tax ID family
Benzie Leelanau District Health Dept6 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.

Practitioners & affiliated clinicians

Practitioners 6

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1154449221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 FRANKFORT HWY",
            "address_2": "SUITE 100",
            "city": "BENZONIA",
            "state": "MI",
            "postal_code": "496169558",
            "telephone_number": "231-882-4409",
            "fax_number": "231-882-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 FRANKFORT HWY",
            "address_2": "SUITE 100",
            "city": "BENZONIA",
            "state": "MI",
            "postal_code": "496169558",
            "telephone_number": "231-882-4409",
            "fax_number": "231-882-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENZIE-LEELANAU DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "THORELL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "231-882-2102",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MSA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MI",
            "license": "4301028725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benzonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.