# JACKSON COUNTY

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

## Provider details

- **NPI number:** 1780692400
- **Legal business name:** JACKSON COUNTY
- **Authorized official:** ASHLEY HOBART (SR ACCOUNT CLERK)
- **Authorized official phone:** (517) 768-1636

## 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 49202-2192
- **Mailing address phone:** (517) 788-4420
- **Mailing address fax:** (517) 788-4373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 03/13/2026