NPIMap

Organization Active NPI

County of Kalamazoo

Doing business as Kalamazoo County Health & Community Services

  • Public Health or Welfare Agency
  • Kalamazoo, MI
National Provider Identifier
1740391523
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF KALAMAZOO
Doing business as
Kalamazoo County Health & Community Services
Practice address
3299 Gull Rd
Kalamazoo, MI 49048-1281
Phone
(269) 373-5259
Fax
(269) 373-5292
NPI assigned
Aug 31, 2006
Last updated
Oct 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Dr. Douglas Homnick, MDNPI 1942279815
Title
Chief Medical Officer
Phone
(269) 373-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

3299 Gull Rd
Kalamazoo, MI 49048-1281

Mailing address

PO Box 42
Nazareth, MI 49074-0042
Phone (269) 373-5200

Other identifiers 10

IdentifierTypeStateIssuer
6004860OtherMIMOLINA HEALTHCARE
744571714MedicaidMI
OP390039OtherMIM-CARE
P00055287OtherMIMEDICARE RR PTAN
235100484MedicaidMI
88138OtherMIDELTA DENTAL
0C90266OtherMIBCBSM
1103300800OtherMIMEDICARE RR PCN
771860393MedicaidMI
164490661MedicaidMI

Other names 1

  • KALAMAZOO COUNTY HEALTH & COMMUNITY SERVICES Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110913000619 MI Part B Supplier - Mass Immunization (Roster Biller Only) 7810170594 Practice locations: Kalamazoo, MI

National Provider Directory

National Provider Directory
Tax ID family
Borgess Breast Care Ctr4 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.

Locations

311 E Alcott St
Kalamazoo, MI 49001
Phone (269) 373-5200

Practitioners & affiliated clinicians

Practitioners 5

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1740391523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42",
            "city": "NAZARETH",
            "state": "MI",
            "postal_code": "490740042",
            "telephone_number": "269-373-5200",
            "fax_number": "269-373-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3299 GULL RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481281",
            "telephone_number": "269-373-5259",
            "fax_number": "269-373-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF KALAMAZOO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "HOMNICK",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "269-373-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE",
            "identifier": "6004860",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "744571714",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "OP390039",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PTAN",
            "identifier": "P00055287",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235100484",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "88138",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0C90266",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PCN",
            "identifier": "1103300800",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "771860393",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164490661",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KALAMAZOO COUNTY HEALTH & COMMUNITY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.