NPIMap

Organization Active NPI

Benzie Leelanau District Health Dept

  • Non-Surgical Family Planning Clinic/Center
  • Benzonia, MI
National Provider Identifier
1881719086
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X
Legal business name
BENZIE LEELANAU DISTRICT HEALTH DEPT
Practice address
6051 Frankfort Hwy
Suite 100
Benzonia, MI 49616
Phone
(231) 882-4409
Fax
(231) 882-2204
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Mr. Daniel R. Thorell Jr.
Title
Health Officer
Phone
(231) 882-2112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X Primary

Addresses

Primary practice location

6051 Frankfort Hwy
Suite 100
Benzonia, MI 49616

Mailing address

6051 Frankfort Hwy
Suite 100
Benzonia, MI 49616
Phone (231) 882-4409

Other identifiers 6

IdentifierTypeStateIssuer
3302186OtherMIMEDICAID HMO
3302186OtherMIMOLINA HEALTH CARE OF MI
3302195OtherMIMOLINA HEALTH CARE OF MI
233302195MedicaidMI
233302186MedicaidMI
3302195OtherMIMEDICAID HMO

National Provider Directory

National Provider Directory
Tax ID family
Benzie Leelanau District Health Dept6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1881719086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 FRANKFORT HWY",
            "address_2": "SUITE 100",
            "city": "BENZONIA",
            "state": "MI",
            "postal_code": "49616",
            "telephone_number": "231-882-4409",
            "fax_number": "231-882-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 FRANKFORT HWY",
            "address_2": "SUITE 100",
            "city": "BENZONIA",
            "state": "MI",
            "postal_code": "49616",
            "telephone_number": "231-882-4409",
            "fax_number": "231-882-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENZIE LEELANAU DISTRICT HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "THORELL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "231-882-2112",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID HMO",
            "identifier": "3302186",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTH CARE OF MI",
            "identifier": "3302186",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTH CARE OF MI",
            "identifier": "3302195",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233302195",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233302186",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID HMO",
            "identifier": "3302195",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benzonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.