# JACKSON COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COUNTY OF JACKSON
- **Other names:** Jackson County Health Department
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073032355
- **Legal business name:** COUNTY OF JACKSON
- **Authorized official:** MR. RICHARD THOUNE (MEDICAL OFFICER)
- **Authorized official phone:** (517) 768-1658

## Contact information

- **Practice address:** 1715 LANSING AVE, JACKSON, MI 49202-2193
- **Practice address phone:** (517) 788-4420
- **Practice address fax:** (517) 788-4373
- **Mailing address:** 1715 LANSING AVE, JACKSON, MI 49202-2193
- **Mailing address phone:** (517) 788-4420
- **Mailing address fax:** (517) 788-4373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 09/18/2017
- **Last updated:** 09/18/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 77279528 | — | MI |