Clinton County Family Resource Center

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

4228851 Issued in MI

Legal business name

CLINTON COUNTY FAMILY RESOURCE CENTER

Practice address

4179 S US Highway 27
Saint Johns, MI 48879-9110

Phone

(989) 224-0598

NPI assigned

Jul 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Marie Ann Barks, RNBA

Title

Prevention Services Coordinator

Phone

(989) 224-1173

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1851591309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4179 S US HIGHWAY 27",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488799110",
            "telephone_number": "989-224-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4179 S US HIGHWAY 27",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488799110",
            "telephone_number": "989-224-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON COUNTY FAMILY RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "BARKS",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PREVENTION SERVICES COORDINATOR",
        "authorized_official_telephone_number": "989-224-1173",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RNBA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MI",
            "license": "4228851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4228851",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberlee Chesney, D.O.
• Denise Clark, OTR/L
• Clinton Area Ambulance Service Authority
• Clinton Area Ambulance Service Authority
• Clinton Area Care Center, Inc (Hazel I Findlay Country Manor)
• Clinton County Medical Center PC
• Clinton County Medical Center Psychological Services PLLC
• Clinton County Medical Center Psychological Services PLLC
• Clinton County Resa
• Clinton Ophthalmology, PC

• Public Health or Welfare Agency in Saint Johns, MI
• Providers in Saint Johns, MI by specialty
• Public Health or Welfare Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.