District Health Department No. 4

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DISTRICT HEALTH DEPARTMENT NO. 4

Practice address

100 Woods Cir
Suite 200
Alpena, MI 49707-1444

Phone

(989) 356-4507

Fax

(989) 358-7997

NPI assigned

Mar 31, 2006

Last updated

Apr 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Bruning

Title

Administrative Health Officer

Phone

(989) 356-4507

Specialties & licenses 2

Addresses

Other identifiers 12

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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.

• Joshua R Meyerson, M.D.

  • Pediatrics Physician
  • Charlevoix, MI
  • NPI 1851383533
  Medicare reassignment NPD
• Kristen Evans, CHW

  • Community Health Worker
  • Cheboygan, MI
  • NPI 1225868722
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1760443584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WOODS CIR",
            "address_2": "SUITE 200",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071444",
            "telephone_number": "989-356-4507",
            "fax_number": "989-358-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODS CIR",
            "address_2": "SUITE 200",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071444",
            "telephone_number": "989-356-4507",
            "fax_number": "989-358-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT HEALTH DEPARTMENT NO. 4",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "BRUNING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATIVE HEALTH OFFICER",
        "authorized_official_telephone_number": "989-356-4507"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - THOMPSON",
            "identifier": "5008767580",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5101374",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - MILLER",
            "identifier": "5008752000",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLNESS PLAN",
            "identifier": "1012525-0001",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4357447",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4357465",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5173865",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1850360",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4357438",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - MINK",
            "identifier": "5008768130",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4357429",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MICHIGAN",
            "identifier": "0E041",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Luise Diener, LMSW
• Jeremiah Lynn Dietz
• District Health Department No. 4
• District Health Department No. 4
• District Health Department No. 4
• DME Billing & Funding Inc
• Docs PLLC (Freedom Recovery Center)
• Jennifer Doering
• Courtney Dombroski
• Jeffrey Paul Dombroski, MD

• Home Health Agency in Alpena, MI
• Providers in Alpena, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.