Active NPI
County of Shiawassee
- Public Health or Welfare Agency
- Corunna, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200000000548 | Medicaid | MI | |
| 200000000547 | Medicaid | MI | |
| 600G80600 | Other | MI | BCBSM |
| 0982874 | Other | MI | HEALTHPLUS COMMERCIAL |
| 0982874 | Medicaid | MI | |
| 202916 | Medicaid | MI | |
| 200000000548 | Other | MI | PHYSICIANS HEALTH PLAN IM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061101000108 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 5799703815 | Practice locations: Corunna, MI |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Skilled Nursing Facility
- Owosso, MI
- NPI 1649263468
Member Of
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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Pleasant View Shiawassee County Medical Care Facility | 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.
-
- Skilled Nursing Facility
- Owosso, MI
- NPI 1649263468
5% Or Greater Direct Ownership Interest, Adp of the SNF
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.
-
- Pharmacist
- Owosso, MI
- NPI 1952953242
-
- Community Health Worker
- Corunna, MI
- NPI 1114846003
-
- Pharmacist
- Perry, MI
- NPI 1164525127
-
- Pharmacist
- Perry, MI
- NPI 1689777526
-
- Pharmacist
- Perry, MI
- NPI 1407383326
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.