NPIMap

Organization Active NPI

County of Washtenaw

  • State or Local Public Health Clinic/Center
  • Ypsilanti, MI
National Provider Identifier
1609896018
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
COUNTY OF WASHTENAW
Practice address
555 Towner St
Ypsilanti, MI 48198-5752
Phone
(734) 544-6700
Fax
(734) 544-6704
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Jennifer Brassow
Title
Finance Manager
Phone
(734) 717-1202

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

555 Towner St
Ypsilanti, MI 48198-5752

Mailing address

555 Towner St
PO Box 915
Ypsilanti, MI 48198-5752
Phone (734) 544-6700

Other identifiers 1

IdentifierTypeStateIssuer
5255183MedicaidMI

Other names 1

  • Washtenaw county Public Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050412001379 MI Part B Supplier - Mass Immunization (Roster Biller Only) 9931161585 Practice locations: Ypsilanti, MI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
County of Washtenaw Cares8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

4125 Washtenaw Ave
Ann Arbor, MI 48108
Phone (734) 973-4343

110 N 4th Ave
Ste 102
Ann Arbor, MI 48104
Phone (734) 222-3750

110 N 4th Ave
Ann Arbor, MI 48104
Phone (734) 222-3750

3981 Varsity Dr
Ann Arbor, MI 48108
Phone (734) 971-6057

2051 S State St
Ste 1
Ann Arbor, MI 48104
Phone (734) 994-8048

2140 E Ellsworth Rd
Ann Arbor, MI 48108
Phone (734) 544-3000

3901 Varsity Dr
Ann Arbor, MI 48108
Phone (734) 971-6180

1250 S Main St
Chelsea, MI 48118
Phone (734) 433-1376

912 City Rd
Manchester, MI 48158
Phone (734) 428-7539

Practitioners & affiliated clinicians

Practitioners 168

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 168

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1609896018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 TOWNER ST",
            "address_2": "PO BOX 915",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985752",
            "telephone_number": "734-544-6700",
            "fax_number": "734-544-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 TOWNER ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985752",
            "telephone_number": "734-544-6700",
            "fax_number": "734-544-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WASHTENAW",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "BRASSOW",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "734-717-1202"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5255183",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washtenaw county Public Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Washtenaw county Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.

Verify at the official NPI Registry.