NPIMap

Organization Active NPI

County of Kalamazoo

  • Case Management Agency
  • Kalamazoo, MI
National Provider Identifier
1336341882
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COUNTY OF KALAMAZOO
Practice address
3299 Gull Rd
Kalamazoo, MI 49048-1281
Phone
(269) 373-5259
Fax
(269) 373-5292
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Douglas Homnick, M.D.
Title
Medical Director
Phone
(269) 373-5261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3299 Gull Rd
Kalamazoo, MI 49048-1281

Mailing address

3299 Gull Rd
Kalamazoo, MI 49048-1281
Phone (269) 373-5259

Other identifiers 1

IdentifierTypeStateIssuer
4686786MedicaidMI

Other names 1

  • Kalamazoo County Health & Community Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kalamazoo Cnty Hu Man S4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3299 Gull Rd
Kalamazoo, MI 49048
Phone (269) 373-5259

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1336341882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3299 GULL RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481281",
            "telephone_number": "269-373-5259",
            "fax_number": "269-373-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3299 GULL RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481281",
            "telephone_number": "269-373-5259",
            "fax_number": "269-373-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF KALAMAZOO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "HOMNICK",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "269-373-5261",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4686786",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kalamazoo County Health & Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.