NPIMap

Organization Active NPI

Van Buren Cass District Public Health Department

  • Public Health or Welfare Agency
  • Cassopolis, MI
National Provider Identifier
1336358159
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
VAN BUREN CASS DISTRICT PUBLIC HEALTH DEPARTMENT
Practice address
201 M 62
Cassopolis, MI 49031-1034
Phone
(269) 445-5280
Fax
(269) 445-5278
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeffery L Elliott
Title
Health Officer Administrator
Phone
(269) 621-3143

Specialties & licenses 1

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

Addresses

Primary practice location

201 M 62
Cassopolis, MI 49031-1034

Mailing address

57418 County Road 681
Hartford, MI 49057-9421
Phone (269) 621-3143

Other identifiers 1

IdentifierTypeStateIssuer
4700769MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Van Buren-Cass County District Health Department18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

57418 County Road 681
Hartford, MI 49057
Phone (269) 621-3143

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336358159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57418 COUNTY ROAD 681",
            "city": "HARTFORD",
            "state": "MI",
            "postal_code": "490579421",
            "telephone_number": "269-621-3143",
            "fax_number": "269-621-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 M 62",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490311034",
            "telephone_number": "269-445-5280",
            "fax_number": "269-445-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN BUREN CASS DISTRICT PUBLIC HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "HEALTH OFFICER ADMINISTRATOR",
        "authorized_official_telephone_number": "269-621-3143"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4700769",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cassopolis, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.