County of Midland

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

COUNTY OF MIDLAND

Practice address

220 W Ellsworth St
Midland, MI 48640

Phone

(989) 832-6380

Fax

(989) 832-6628

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. C Michael Krecek, RS MA

Title

Health Officer

Phone

(989) 837-6574

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Midland County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Midland County Juvenile Care Center3 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.

• Midland County Juvenile Care Center

  • Community/Behavioral Health Agency
  • Midland, MI
  • NPI 1932472891
  NPD tax ID
• Pinecrest Farms

  • Assisted Living Facility
  • Midland, MI
  • NPI 1891198057
  NPD tax ID

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catherine M Bodnar, MD, MPH

  • Internal Medicine Physician
  • Midland, MI
  • NPI 1487791232
  NPD (past)
• Joann P Bunce, NP

  • Nurse Practitioner
  • Midland, MI
  • NPI 1396093027
  NPD (past)
• Mary Claire Macinnes, WHNP-B.C., M.S.N

  • Nurse Practitioner
  • Midland, MI
  • NPI 1881940328
  NPD (past)
• Tammy Z. Movsas, M.D.

  • Public Health & General Preventive Medicine Physician
  • Midland, MI
  • NPI 1285794685
  NPD (past)
• Richard F Nowak, D.O.

  • Public Health & General Preventive Medicine Physician
  • Midland, MI
  • NPI 1871619411
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1295741551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W ELLSWORTH ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "48640",
            "telephone_number": "989-832-6380",
            "fax_number": "989-832-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W ELLSWORTH ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "48640",
            "telephone_number": "989-832-6380",
            "fax_number": "989-832-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MIDLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "KRECEK",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "989-837-6574",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RS MA"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID FAMILY PLANNING",
            "identifier": "5100706",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "772842380",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0992312",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FAMILY PLANNING",
            "identifier": "235100706",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID MIHP",
            "identifier": "1849725",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID IMMUNIZATION",
            "identifier": "2842380",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID MSS ISS",
            "identifier": "771849725",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midland County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Costco Wholesale Corporation
• Tracy Coster, CCC-SLP
• Kaylee Coston
• Marci Ann Cottick, RRT
• Christin Coughlin
• Constance Courier, NURSE
• Julianne Cousar
• Covenant Counseling LLC
• Lyndsay Cox
• Sarah Cox, MPH

• All providers in Midland, MI
• State or Local Public Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.