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Organization
JACKSON COUNTY
Active
Organization
JACKSON COUNTY
Active
Parent organization
COUNTY OF JACKSON
Other names
Jackson County Health Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF JACKSON
Authorized official
MR. RICHARD THOUNE (MEDICAL OFFICER)
(517) 768-1658
Entity
Organization
Contact information
Practice address
1715 LANSING AVE, JACKSON, MI 49202-2193
(517) 788-4420
(517) 788-4373
Mailing address
1715 LANSING AVE, JACKSON, MI 49202-2193
(517) 788-4420
(517) 788-4373
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77279528
—
MI
Enumeration date
09/18/2017
Last updated
09/18/2017
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