Active NPI
Barry-Eaton District Health
- Public Health or Welfare Agency
- Charlotte, MI
National Provider Identifier
1982768032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0P28320 | Other | MI | MEDICARE MASS IMMUNIZATION |
| 0N97350 | Other | MI | MEDICARE PTAN |
| P00297302 | Other | MI | RAILROAD RETIREMENT |
| 5100027 | Medicaid | MI | |
| 1845717 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Department
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Charlotte, MI
- NPI 1215271036
-
- Public Health or Welfare Agency
- Hastings, MI
- NPI 1790830966
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.
-
- Public Health & General Preventive Medicine Physician
- Lansing, MI
- NPI 1831288398
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.