NPIMap

Organization Active NPI

Midland County Juvenile Care Center

  • Community/Behavioral Health Agency
  • Midland, MI
National Provider Identifier
1932472891
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CO560201303 Issued in MI
Legal business name
MIDLAND COUNTY JUVENILE CARE CENTER
Practice address
3712 E Ashman Rd
Midland, MI 48642-9314
Phone
(989) 837-6080
Fax
(989) 837-6094
NPI assigned
Feb 22, 2012
Last updated
Feb 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Authorized official

Name
Mr. Mark Butcher
Title
Director
Phone
(989) 837-6080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CO560201303 MI Primary

Addresses

Primary practice location

3712 E Ashman Rd
Midland, MI 48642-9314

Mailing address

3712 E Ashman Rd
Midland, MI 48642-9314
Phone (989) 837-6080

National Provider Directory

National Provider Directory
Tax ID family
Midland County Juvenile Care Center3 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.

Locations

3712 E Ashman St
Midland, MI 48642
Phone (989) 837-6080

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1932472891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 E ASHMAN RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486429314",
            "telephone_number": "989-837-6080",
            "fax_number": "989-837-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 E ASHMAN RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486429314",
            "telephone_number": "989-837-6080",
            "fax_number": "989-837-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND COUNTY JUVENILE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "BUTCHER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "989-837-6080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "CO560201303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.