Organization
VAN BUREN-CASS COUNTY DISTRICT HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY L ELLIOTT (HEALTH OFFICER/ADMINISTRATOR)
(269) 621-3143
Entity
Organization
Contact information
Practice address
57418 COUNTY ROAD 681, SUITE A, HARTFORD, MI 49057-9421
(269) 621-3143
(269) 621-2725
Mailing address
57418 COUNTY ROAD 681, SUITE A, HARTFORD, MI 49057-9421
(269) 621-3143
(269) 621-2725
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4283853
—
MI
05
—
4419826
—
MI
05
—
4977193
—
MI
Enumeration date
09/28/2006
Last updated
04/13/2012
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