NPIMap

Organization Active NPI

County of Kalamazoo

  • Clinical Medical Laboratory
  • Kalamazoo, MI
National Provider Identifier
1861675530
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
4301044487 Issued in MI
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) 373-5360
Fax
(269) 373-5022
NPI assigned
Dec 17, 2007
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
Douglas Homnick, M.D.
Title
Medical Director
Phone
(269) 373-5261

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X 4301044487 MI
Clinical Medical Laboratory 291U00000X 4301044487 MI Primary

Addresses

Primary practice location

3299 Gull Rd
Kalamazoo, MI 49048-1281

Mailing address

PO Box 42
Nazareth, MI 49074-0042
Phone (269) 373-5360

Other identifiers 3

IdentifierTypeStateIssuer
164490661MedicaidMI
6004860OtherMIMOLINA HEALTHCARE
OP390039OtherMIMCARE

Other names 1

  • Kalamazoo County Health & Community Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kalamazoo Cnty Hu Man S4 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.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1861675530",
    "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": "269-373-5360",
            "fax_number": "269-373-5022"
        },
        {
            "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": "269-373-5360",
            "fax_number": "269-373-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF KALAMAZOO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "HOMNICK",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "269-373-5261",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "MI",
            "license": "4301044487",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "4301044487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164490661",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE",
            "identifier": "6004860",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "OP390039",
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.