Organization Active NPI

Barry-Eaton District Health

  • Public Health or Welfare Agency
  • Charlotte, MI
National Provider Identifier
1982768032
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
BARRY-EATON DISTRICT HEALTH
Practice address
1033 Healthcare Dr
Charlotte, MI 48813-1058
Phone
(517) 543-2430
Fax
(517) 543-2656
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Mrs. Colette Scrimger
Title
Health Officer
Phone
(517) 541-2602

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1033 Healthcare Dr
Charlotte, MI 48813-1058

Mailing address

1033 Healthcare Dr
Charlotte, MI 48813-1058
Phone (517) 543-2430

Other identifiers 5

IdentifierTypeStateIssuer
0P28320OtherMIMEDICARE MASS IMMUNIZATION
0N97350OtherMIMEDICARE PTAN
P00297302OtherMIRAILROAD RETIREMENT
5100027MedicaidMI
1845717MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040913001300 MI Part B Supplier - Clinic/Group Practice 6800708843 Receives reassigned benefits from 3 practitioners
Practice locations: Hastings, MI; Charlotte, MI

National Provider Directory

National Provider Directory
Tax ID family
Barry-Eaton District Health Department3 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

1033 Healthcare Dr
Charlotte, MI 48813
Phone (517) 541-2673

528 Beech St
Charlotte, MI 48813
Phone (517) 543-2430

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1982768032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 HEALTHCARE DR",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131058",
            "telephone_number": "517-543-2430",
            "fax_number": "517-543-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 HEALTHCARE DR",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131058",
            "telephone_number": "517-543-2430",
            "fax_number": "517-543-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY-EATON DISTRICT HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "SCRIMGER",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "517-541-2602",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MASS IMMUNIZATION",
            "identifier": "0P28320",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0N97350",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT",
            "identifier": "P00297302",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5100027",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1845717",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.