NPIMap

Organization Active NPI

Grand Traverse County Health Department

  • Public Health & General Preventive Medicine Physician
  • Traverse City, MI
National Provider Identifier
1801074646
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
4301028725 Issued in MI
Legal business name
GRAND TRAVERSE COUNTY HEALTH DEPARTMENT
Practice address
2325 Garfield Rd N
Traverse City, MI 49686-5178
Phone
(231) 922-2703
Fax
(231) 922-2719
NPI assigned
Feb 4, 2008
Last updated
Feb 4, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
GRAND TRAVERSE COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Rob Palmer
Title
Accounting Technician
Phone
(231) 922-2703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0901X 4301028725 MI Primary

Addresses

Primary practice location

2325 Garfield Rd N
Traverse City, MI 49686-5178

Mailing address

2325 Garfield Rd N
Traverse City, MI 49686-5178
Phone (231) 922-2703

National Provider Directory

National Provider Directory
Tax ID family
Grand Traverse County Commission on Aging6 organizations share this tax ID, including this one
Part of
Grand Traverse County Commission on Aging

Other organizations with this tax ID 5

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

Locations

2600 Lafranier Rd
Ste A
Traverse City, MI 49686
Phone (231) 995-6111

Practitioners & affiliated clinicians

Practitioners 1

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": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1801074646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 GARFIELD RD N",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496865178",
            "telephone_number": "231-922-2703",
            "fax_number": "231-922-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 GARFIELD RD N",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496865178",
            "telephone_number": "231-922-2703",
            "fax_number": "231-922-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND TRAVERSE COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRAND TRAVERSE COUNTY",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "ACCOUNTING TECHNICIAN",
        "authorized_official_telephone_number": "231-922-2703"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MI",
            "license": "4301028725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.