NPIMap

Organization Active NPI

Barry-Eaton District Health Department

  • Public Health or Welfare Agency
  • Hastings, MI
National Provider Identifier
1790830966
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
BARRY-EATON DISTRICT HEALTH DEPARTMENT
Practice address
330 W Woodlawn Ave
Hastings, MI 49058-1035
Phone
(517) 541-2673
Fax
(517) 543-2656
NPI assigned
Jan 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ronald E Wingate
Title
Finance Officer
Phone
(517) 541-2673

Specialties & licenses 1

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

Addresses

Primary practice location

330 W Woodlawn Ave
Hastings, MI 49058-1035

Mailing address

1033 Healthcare Dr
Charlotte, MI 48813-1058
Phone (517) 541-2673

Other identifiers 3

IdentifierTypeStateIssuer
5100027MedicaidMI
P00297302OtherMIRR RETIREMENT MASS IMMUNI
1845717MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Barry-Eaton District Health Department3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790830966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 HEALTHCARE DR",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131058",
            "telephone_number": "517-541-2673",
            "fax_number": "517-543-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W WOODLAWN AVE",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581035",
            "telephone_number": "517-541-2673",
            "fax_number": "517-543-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY-EATON DISTRICT HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINGATE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "FINANCE OFFICER",
        "authorized_official_telephone_number": "517-541-2673",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5100027",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR RETIREMENT MASS IMMUNI",
            "identifier": "P00297302",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1845717",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.