District Health Department No. 2

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

0000009 Issued in MI

Legal business name

DISTRICT HEALTH DEPARTMENT NO. 2

Practice address

630 Progress St
West Branch, MI 48661-8603

Phone

(989) 345-5020

Fax

(989) 343-1899

NPI assigned

Mar 14, 2006

Last updated

Jan 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lynnette Benjamin, B.A.S.

Title

Health Officer

Phone

(989) 343-1800

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mustafa Mark Hamed, M.D.

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1366600280
  Medicare reassignment NPD
• Greg Malewska, FNP-C

  • Family Nurse Practitioner
  • Tawas City, MI
  • NPI 1750980314
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1205805181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PROGRESS ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486618603",
            "telephone_number": "989-345-5020",
            "fax_number": "989-343-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 PROGRESS ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486618603",
            "telephone_number": "989-345-5020",
            "fax_number": "989-343-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT HEALTH DEPARTMENT NO. 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "LYNNETTE",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "989-343-1800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.A.S."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MI",
            "license": "0000009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA FAMILY PLANNING",
            "identifier": "4318627",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FP/WHC/IMMS",
            "identifier": "5008766930",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232675845",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235101220",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235101258",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235101267",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN - FP",
            "identifier": "4318627",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Degeorge
• Elizabeth Dekryger, PA
• Diagnostic Imaging of West Branch PC
• Dialysis and Nephrology Consultants PC
• District Health Department No 2
• District Health Department No. 2
• District Health Department No. 2
• District Health Department No. 2
• District Health Department No. 2
• District Health Department No. 2

• Public Health or Welfare Agency in West Branch, MI
• Providers in West Branch, MI by specialty
• Public Health or Welfare Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.