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Organization

NEWAYGO COUNTY MENTAL HEALTH BOARD

Active
Other names
Newaygo County Mental Health
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL BETH MILLS (EXECUTIVE DIRECTOR)
(231) 689-7330
Entity
Organization

Contact information

Practice address
1049 E NEWELL ST, WHITE CLOUD, MI 49349-8795
(231) 689-7330
(231) 689-7345
Mailing address
1049 E NEWELL ST, PO BOX 867, WHITE CLOUD, MI 49349-8795
(231) 689-7330
(231) 689-7345

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301045669
MI
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043260177
NPA - LAFLEUR
MI
01
1184972309
SED WAIVER
MI
01
1225066079
NPI - GUNNELL
MI
01
1285674028
NPI - LAPO
MI
01
1376512236
NPI - AGENCY
MI
01
1386969996
NPI - PHARMACY
MI
01
1417139692
NPI - DR. ALT
MI
01
1417164575
NPI - ZAK
MI
01
1538325543
NPI - JO MEYER, LMSW
MI
01
1578686820
NPI - BRITT MILLER
MI
05
1708066
MI
01
1740629450
KATHLEEN SMITH
MI
01
1780816520
NPI - JILLAINE RUPPEL
MI
05
4359826
MI
05
4892416
MI
01
700F260140
BLUE CROSS/BLUE SHIELD
MI
01
P57070001
MEDICARE PTAN
MI
01
P57070002
MEDICARE PTAN
MI
01
P57070009
JO MEYER
MI
01
P57070010
JILLAINE RUPPEL
MI
01
P57070011
MEDICARE - BRITT MILLER
MI
Enumeration date
03/14/2006
Last updated
01/23/2020
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