Organization Active NPI

County of Shiawassee

  • Public Health or Welfare Agency
  • Corunna, MI
National Provider Identifier
1326042946
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF SHIAWASSEE
Practice address
110 E Mack St
Corunna, MI 48817-1459
Phone
(989) 743-2356
Fax
(989) 743-2362
NPI assigned
Jun 10, 2005
Last updated
Apr 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Mr. George J Pichette, JD
Title
Health Officer
Phone
(989) 743-2318

Specialties & licenses 1

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

Addresses

Primary practice location

110 E Mack St
Corunna, MI 48817-1459

Mailing address

110 E Mack Street
Attn: Administration
Corunna, MI 48817-1440
Phone (989) 743-2318

Other identifiers 7

IdentifierTypeStateIssuer
200000000548MedicaidMI
200000000547MedicaidMI
600G80600OtherMIBCBSM
0982874OtherMIHEALTHPLUS COMMERCIAL
0982874MedicaidMI
202916MedicaidMI
200000000548OtherMIPHYSICIANS HEALTH PLAN IM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061101000108 MI Part B Supplier - Mass Immunization (Roster Biller Only) 5799703815 Practice locations: Corunna, MI

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

312 W Maple St
Byron, MI 48418
Phone (810) 266-4881

110 E Mack St
Corunna, MI 48817
Phone (517) 743-2355

149 E Corunna Ave
Corunna, MI 48817

149 E Corunna Ave
Fl 2
Corunna, MI 48817
Phone (989) 251-6297

8618 E Lansing Rd
Durand, MI 48429
Phone (517) 288-4122

7988 W Henderson Rd
Elsie, MI 48831
Phone (989) 834-2271

8008 Woodbury Rd
Laingsburg, MI 48848
Phone (517) 651-5091

960 S New Lothrop Rd
Lennon, MI 48449
Phone (989) 834-2271

300 N Washington St
Owosso, MI 48867
Phone (989) 723-8875

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pleasant View Shiawassee County Medical Care FacilityOwosso, MI, CCN 235067 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Jan 1, 1966
Jan 1, 1966

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1326042946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E MACK STREET",
            "address_2": "ATTN: ADMINISTRATION",
            "city": "CORUNNA",
            "state": "MI",
            "postal_code": "488171440",
            "telephone_number": "989-743-2318",
            "fax_number": "989-743-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MACK ST",
            "city": "CORUNNA",
            "state": "MI",
            "postal_code": "488171459",
            "telephone_number": "989-743-2356",
            "fax_number": "989-743-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SHIAWASSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "PICHETTE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "989-743-2318",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200000000548",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200000000547",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "600G80600",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS COMMERCIAL",
            "identifier": "0982874",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0982874",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202916",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH PLAN IM",
            "identifier": "200000000548",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corunna, MI

Sources for this page

Verify at the official NPI Registry.