NPIMap

Organization Active NPI

Delta-Menominee District Health Department

Doing business as Public Health, Delta & Menominee Counties

  • Public Health or Welfare Agency
  • Menominee, MI
National Provider Identifier
1467506758
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
DELTA-MENOMINEE DISTRICT HEALTH DEPARTMENT
Doing business as
Public Health, Delta & Menominee Counties
Practice address
909 10TH Ave
Menominee, MI 49858-3014
Phone
(906) 863-4451
Fax
(906) 863-7142
NPI assigned
Jan 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. John R Petrasky, MDNPI 1225177975
Title
Health Officer & Medical Director
Phone
(906) 786-8111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

909 10TH Ave
Menominee, MI 49858-3014

Mailing address

2920 College Ave
Escanaba, MI 49829-9597
Phone (906) 786-4111

Other identifiers 1

IdentifierTypeStateIssuer
02149321OtherMIBCBS PIN

Other names 1

  • PUBLIC HEALTH, DELTA & MENOMINEE COUNTIES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Delta-Menominee District Health Department4 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.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467506758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 COLLEGE AVE",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498299597",
            "telephone_number": "906-786-4111",
            "fax_number": "906-786-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 10TH AVE",
            "city": "MENOMINEE",
            "state": "MI",
            "postal_code": "498583014",
            "telephone_number": "906-863-4451",
            "fax_number": "906-863-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA-MENOMINEE DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETRASKY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "HEALTH OFFICER & MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "906-786-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "02149321",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PUBLIC HEALTH, DELTA & MENOMINEE COUNTIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Menominee, 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.