NPIMap

Organization Active NPI

Van Buren Cass District Health Department

  • Community/Behavioral Health Agency
  • Bangor, MI
National Provider Identifier
1629252895
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801063574 Issued in MI
Legal business name
VAN BUREN CASS DISTRICT HEALTH DEPARTMENT
Practice address
803 West Arlington
Bangor Health Center
Bangor, MI 49013
Phone
(269) 427-6810
NPI assigned
Dec 24, 2007
Last updated
Dec 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Authorized official

Name
Mr. Jeffery L Elliott, BBA
Title
Chief Health Officer
Phone
(269) 621-3143

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6801063574 MI Primary
Community/Behavioral Health Agency 251S00000X 6301006216 MI

Addresses

Primary practice location

803 West Arlington
Bangor Health Center
Bangor, MI 49013

Mailing address

57418 County Road 681
Hartford, MI 49057-9421
Phone (269) 621-3143

National Provider Directory

National Provider Directory
Tax ID family
Van Buren County Public18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

803 W Arlington St
Bangor, MI 49013
Phone (269) 427-6810

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1629252895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57418 COUNTY ROAD 681",
            "city": "HARTFORD",
            "state": "MI",
            "postal_code": "490579421",
            "telephone_number": "269-621-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 WEST ARLINGTON",
            "address_2": "BANGOR HEALTH CENTER",
            "city": "BANGOR",
            "state": "MI",
            "postal_code": "49013",
            "telephone_number": "269-427-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN BUREN CASS DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF HEALTH OFFICER",
        "authorized_official_telephone_number": "269-621-3143",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801063574",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6301006216",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.