Active NPI
County of Saginaw
- Public Health or Welfare Agency
- Saginaw, MI
National Provider Identifier
1497863229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 5101006168
- Legal business name
- COUNTY OF SAGINAW
- Practice address
- 1600 N Michigan Ave
Saginaw, MI 48602-5306 - Phone
- (989) 758-3800
- Fax
- (989) 758-3750
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John D. McKellar, M.P.H.
- Title
- Health Officer
- Phone
- (989) 758-3818
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 5101006168 | MI | Primary |
Addresses
Primary practice location
1600 N Michigan Ave
Saginaw, MI 48602-5306
Mailing address
111 S Michigan Ave
Saginaw, MI 48602-2019
Phone (989) 758-3800
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1996883 | Medicaid | MI | |
| 2911586 | Medicaid | MI | |
| 5100840 | Medicaid | MI | |
| 87726 | Other | MI | PHYSICIANS HEALTH PLAN |
| 18167 | Other | MI | PRIORITY HEALTH |
| 1849897 | Medicaid | MI | |
| 0980306 | Other | MI | HEALTH PLUS |
| 1111H1 | Other | MI | MOLINA HEALTH PLAN |
| 7888 | Other | MI | GREAT LAKES HEALTH PLAN |
Other names 1
- County of Saginaw, Dept. of Public Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140115001119 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 0244227619 | Practice locations: Saginaw, MI |
National Provider Directory
National Provider Directory- Tax ID family
- County of Saginaw
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Saginaw, MI
- NPI 1346363504
Locations
1600 N Michigan Ave
Saginaw, MI 48602
Phone (989) 758-3679
1600 N Michigan Ave
Ste 109
Saginaw, MI 48602
111 S Michigan Ave
Saginaw, MI 48602
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1407844251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372291200000",
"number": "1497863229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S MICHIGAN AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486022019",
"telephone_number": "989-758-3800",
"fax_number": "989-758-3750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N MICHIGAN AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486025306",
"telephone_number": "989-758-3800",
"fax_number": "989-758-3750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF SAGINAW",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2013-06-27",
"status": "A",
"authorized_official_last_name": "MCKELLAR",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "HEALTH OFFICER",
"authorized_official_telephone_number": "989-758-3818",
"authorized_official_credential": "M.P.H."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "MI",
"license": "5101006168",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1996883",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2911586",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5100840",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS HEALTH PLAN",
"identifier": "87726",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY HEALTH",
"identifier": "18167",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1849897",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "0980306",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTH PLAN",
"identifier": "1111H1",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH PLAN",
"identifier": "7888",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "County of Saginaw, Dept. of Public Health",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.