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Organization

ALLEGAN COUNTY HEALTH DEPARTMENT

Active
Parent organization
COUNTY OF ALLEGAN
Organization subpart
Yes

Provider details

NPI number
Legal business name
COUNTY OF ALLEGAN
Authorized official
RICHARD M TOOKER M.D. (MEDICAL DIRECTOR)
(269) 673-5411
Entity
Organization

Contact information

Practice address
3255 122ND AVE, STE 200, ALLEGAN, MI 49010-9511
(269) 267-5411
(269) 673-4172
Mailing address
3255 122ND AVE, STE 200, ALLEGAN, MI 49010-9511
(269) 267-5411
(269) 673-4172

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13556
HEALTH PLAN OF MI
MI
01
1849707
MOLINA
MI
01
3900300102
BCBS OF MI
MI
01
4301044487
PRIORITY HEALTH
MI
05
771849707
MI
05
774208868
MI
Enumeration date
05/23/2005
Last updated
07/21/2022
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