Organization
COUNTY OF MIDLAND
Active
Other names
Midland County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. C MICHAEL KRECEK RS MA (HEALTH OFFICER)
(989) 837-6574
Entity
Organization
Contact information
Practice address
220 W ELLSWORTH ST, MIDLAND, MI 48640
(989) 832-6380
(989) 832-6628
Mailing address
220 W ELLSWORTH ST, MIDLAND, MI 48640
(989) 832-6380
(989) 832-6628
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0992312
HEALTH PLUS
MI
01
—
1849725
MEDICAID MIHP
MI
01
—
235100706
MEDICARE FAMILY PLANNING
MI
01
—
2842380
MEDICAID IMMUNIZATION
MI
01
—
5100706
MEDICAID FAMILY PLANNING
MI
01
—
771849725
MEDICAID MSS ISS
MI
05
—
772842380
—
MI
Enumeration date
07/31/2006
Last updated
09/17/2012
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