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Organization

COUNTY OF GRAND TRAVERSE

Active
Parent organization
GRAND TRAVERSE COUNTY
Other names
Grand Traverse County Health Department
Organization subpart
Yes

Provider details

NPI number
Legal business name
GRAND TRAVERSE COUNTY
Authorized official
ERIN CARLSON (ACCOUNTANT)
(231) 995-6103
Entity
Organization

Contact information

Practice address
2600 LAFRANIER RD STE A, TRAVERSE CITY, MI 49686-4765
(231) 995-6111
(231) 995-6109
Mailing address
2600 LAFRANIER RD STE A, TRAVERSE CITY, MI 49686-4765
(231) 995-6111
(231) 995-6109

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
261Q00000X
Clinic/Center
4301028725
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
235100410
MI
05
772813923
MI
05
773054097
MI
Enumeration date
01/05/2007
Last updated
09/12/2016
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