Cheboygan County Council on Aging

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

CHEBOYGAN COUNTY COUNCIL ON AGING

Practice address

1531 Sand Rd
Cheboygan, MI 49721-9167

Phone

(231) 627-7234

Fax

(231) 627-4048

NPI assigned

Jun 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael P Bur

Title

Executive Director

Phone

(231) 627-7234

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386848653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 SAND ROAD",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "49721",
            "telephone_number": "231-627-7234",
            "fax_number": "231-627-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 SAND RD",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497219167",
            "telephone_number": "231-627-7234",
            "fax_number": "231-627-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEBOYGAN COUNTY COUNCIL ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "231-627-7234",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasandra M Causey
• Rebekah Lynne Cavitt
• Cassie Lynne Charboneau
• Cheboygan Area High School - Counseling Room
• Cheboygan Chiropractic Clinic Inc
• Cheboygan Dental Associates Inc
• Cheboygan Life Support Systems Inc
• Cheboygan Opco LLC (Medilodge of Cheboygan)
• Robin A Chezick, B.S.N.
• Dominic D Collino, D.C.

• Voluntary or Charitable Agency in Cheboygan, MI
• Providers in Cheboygan, MI by specialty
• Voluntary or Charitable Agency in Michigan

• 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.