Organization
DISTRICT HEALTH DEPARTMENT NO. 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA G PELTON (DIRECTOR OF FINANCE)
(989) 343-1806
Entity
Organization
Contact information
Practice address
630 PROGRESS ST, WEST BRANCH, MI 48661-8603
(989) 345-5020
Mailing address
630 PROGRESS ST, WEST BRANCH, MI 48661-8603
(989) 345-5020
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
0000009
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203977
MCLAREN IMMS
MI
01
—
4598066
MOLINA IMMS - OGEMAW
MI
01
—
4598075
MOLINA IMMS - IOSCO
MI
01
—
4598084
MOLINA IMMS - OSCODA
MI
01
—
4598093
MOLINA IMMS - ALCONA
MI
01
—
5008766930
BCBS IMMS
MI
Enumeration date
11/30/2007
Last updated
04/20/2008
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