NPIMap

Organization Active NPI

County of Tuscola Health Dept.

Doing business as Tuscola County Health Dept.

  • Public Health or Welfare Agency
  • Caro, MI
National Provider Identifier
1669497053
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
5101005982 Issued in MI
Legal business name
COUNTY OF TUSCOLA HEALTH DEPT.
Doing business as
Tuscola County Health Dept.
Practice address
1309 Cleaver Rd
Suite B
Caro, MI 48723-9160
Phone
(989) 673-8114
Fax
(989) 673-7490
NPI assigned
Jul 13, 2006
Last updated
May 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
Ms. Gretchen M Tenbusch, R.N., M.S.A.
Title
Health Officer
Phone
(989) 673-8114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 5101005982 MI Primary

Addresses

Primary practice location

1309 Cleaver Rd
Suite B
Caro, MI 48723-9160

Mailing address

1309 Cleaver Rd
Suite B
Caro, MI 48723-9160
Phone (989) 673-8114

Other identifiers 16

IdentifierTypeStateIssuer
0984564OtherHEALTH PLUS OF MICHIGAN
118756OtherGREAT LAKES HEALTH PLAN
5008706080OtherBCBSM
772676468MedicaidMI
1000777OtherMCLAREN
5100976OtherMOLINA HEALTHCARE
700G96012OtherBCBSM
771897956OtherHEALTH PLAN OF MICHIGAN
771897956MedicaidMI
235100976MedicaidMI
2676468OtherMOLINA HEALTHCARE
235100976OtherHEALTH PLAN OF MICHIGAN
700G960120OtherBLUE CARE NETWORK
772676468OtherHEALTH PLAN OF MICHIGAN
1000777OtherHEALTH ADVANTAGE
1897956OtherMOLINA HEALTHCARE

Other names 1

  • TUSCOLA COUNTY HEALTH DEPT. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120511000500 MI Part B Supplier - Mass Immunization (Roster Biller Only) 2668635590 Practice locations: Caro, MI

National Provider Directory

National Provider Directory

Locations

1309 Cleaver Rd
Ste B
Caro, MI 48723
Phone (989) 673-8114

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1669497053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 CLEAVER RD",
            "address_2": "SUITE B",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239160",
            "telephone_number": "989-673-8114",
            "fax_number": "989-673-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 CLEAVER RD",
            "address_2": "SUITE B",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239160",
            "telephone_number": "989-673-8114",
            "fax_number": "989-673-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF TUSCOLA HEALTH DEPT.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "TENBUSCH",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "989-673-8114",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N., M.S.A."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MI",
            "license": "5101005982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS OF MICHIGAN",
            "identifier": "0984564",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "118756",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "5008706080",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "772676468",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN",
            "identifier": "1000777",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE",
            "identifier": "5100976",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "700G96012",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF MICHIGAN",
            "identifier": "771897956",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "771897956",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235100976",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE",
            "identifier": "2676468",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF MICHIGAN",
            "identifier": "235100976",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "700G960120",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF MICHIGAN",
            "identifier": "772676468",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ADVANTAGE",
            "identifier": "1000777",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE",
            "identifier": "1897956",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TUSCOLA COUNTY HEALTH DEPT.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caro, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.