NPIMap

Organization Active NPI

Tuscola County Community Mental Health Services Board

Doing business as Tuscola Behavioral Health Systems

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Caro, MI
National Provider Identifier
1275644775
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TUSCOLA COUNTY COMMUNITY MENTAL HEALTH SERVICES BOARD
Doing business as
Tuscola Behavioral Health Systems
Practice address
323 N State St
Caro, MI 48723-1537
Phone
(989) 673-6191
Fax
(989) 673-1596
NPI assigned
Aug 31, 2006
Last updated
Dec 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Sharon E Beals
Title
Ceo
Phone
(989) 673-6191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

323 N State St
Caro, MI 48723-1537

Mailing address

323 N State St
PO Box 239
Caro, MI 48723-1537
Phone (989) 673-6191

Other identifiers 1

IdentifierTypeStateIssuer
700B660020OtherMIBCBSM

Other names 1

  • Tuscola Behavioral Health Systems Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040205000968 MI Part B Supplier - Clinic/Group Practice 0941193619 Receives reassigned benefits from 14 practitioners
Practice locations: Caro, MI
O20040214000148 MI Part B Supplier - Clinic/Group Practice 0941193619 Receives reassigned benefits from 7 practitioners
Practice locations: Caro, MI

National Provider Directory

National Provider Directory
Tax ID family
Tuscola Behavioral Health Systems3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

125 W Lincoln St
Caro, MI 48723
Phone (517) 673-2102

141 S Almer St
Caro, MI 48723
Phone (989) 672-3502

323 N State St
Caro, MI 48723
Phone (989) 673-6191

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1275644775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 N STATE ST",
            "address_2": "PO BOX 239",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231537",
            "telephone_number": "989-673-6191",
            "fax_number": "989-673-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N STATE ST",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231537",
            "telephone_number": "989-673-6191",
            "fax_number": "989-673-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSCOLA COUNTY COMMUNITY MENTAL HEALTH SERVICES BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "BEALS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-673-6191"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "700B660020",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tuscola Behavioral Health Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caro, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.