NPIMap

Organization Active NPI

Allegan County Health Department

  • Public Health or Welfare Agency
  • Allegan, MI
National Provider Identifier
1184627135
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
ALLEGAN COUNTY HEALTH DEPARTMENT
Practice address
3255 122ND Ave
Ste 200
Allegan, MI 49010-9511
Phone
(269) 267-5411
Fax
(269) 673-4172
NPI assigned
May 23, 2005
Organization subpart
Yes
Parent organization
COUNTY OF ALLEGANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Richard M Tooker, M.D.
Title
Medical Director
Phone
(269) 673-5411

Specialties & licenses 1

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

Addresses

Primary practice location

3255 122ND Ave
Ste 200
Allegan, MI 49010-9511

Mailing address

3255 122ND Ave
Ste 200
Allegan, MI 49010-9511
Phone (269) 267-5411

Other identifiers 6

IdentifierTypeStateIssuer
1849707OtherMIMOLINA
4301044487OtherMIPRIORITY HEALTH
774208868MedicaidMI
3900300102OtherMIBCBS OF MI
771849707MedicaidMI
13556OtherMIHEALTH PLAN OF MI

National Provider Directory

National Provider Directory
Tax ID family
Allegan County2 organizations share this tax ID, including this one
Part of
Allegan County

Other organizations with this tax ID 1

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

Locations

3255 122nd Ave
Ste 200
Allegan, MI 49010
Phone (269) 673-5411

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1184627135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 122ND AVE",
            "address_2": "STE 200",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490109511",
            "telephone_number": "269-267-5411",
            "fax_number": "269-673-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 122ND AVE",
            "address_2": "STE 200",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490109511",
            "telephone_number": "269-267-5411",
            "fax_number": "269-673-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGAN COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF ALLEGAN",
        "enumeration_date": "2005-05-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TOOKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "269-673-5411",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "1849707",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "4301044487",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "774208868",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "3900300102",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "771849707",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF MI",
            "identifier": "13556",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allegan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.