NPIMap

Organization Active NPI

Benzie Leelanau District Health Dept

  • Public Health or Welfare Agency
  • Benzonia, MI
National Provider Identifier
1366577686
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
4704147470 Issued in MI
Legal business name
BENZIE LEELANAU DISTRICT HEALTH DEPT
Practice address
6051 Frankfort Hwy
Suite 100
Benzonia, MI 49616
Phone
(231) 882-4409
Fax
(231) 882-2204
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Mr. Daniel R. Thorell Jr., MSA
Title
Health Officer
Phone
(231) 882-2102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 4704147470 MI Primary

Addresses

Primary practice location

6051 Frankfort Hwy
Suite 100
Benzonia, MI 49616

Mailing address

6051 Frankfort Hwy
Suite 100
Benzonia, MI 49616
Phone (231) 882-4409

Other identifiers 1

IdentifierTypeStateIssuer
104626115MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Benzie Leelanau District Health Dept6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

6051 Frankfort Hwy
Ste 100
Benzonia, MI 49616
Phone (231) 882-2116

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1366577686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 FRANKFORT HWY",
            "address_2": "SUITE 100",
            "city": "BENZONIA",
            "state": "MI",
            "postal_code": "49616",
            "telephone_number": "231-882-4409",
            "fax_number": "231-882-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 FRANKFORT HWY",
            "address_2": "SUITE 100",
            "city": "BENZONIA",
            "state": "MI",
            "postal_code": "49616",
            "telephone_number": "231-882-4409",
            "fax_number": "231-882-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENZIE LEELANAU DISTRICT HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "THORELL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "231-882-2102",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MSA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MI",
            "license": "4704147470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104626115",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benzonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.