Organization
COUNTY OF KALAMAZOO
Active
Other names
KALAMAZOO COUNTY HEALTH & COMMUNITY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS HOMNICK MD (CHIEF MEDICAL OFFICER)
(269) 373-5200
Entity
Organization
Contact information
Practice address
3299 GULL RD, KALAMAZOO, MI 49048-1281
(269) 373-5259
(269) 373-5292
Mailing address
PO BOX 42, NAZARETH, MI 49074-0042
(269) 373-5200
(269) 373-5363
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C90266
BCBSM
MI
01
—
1103300800
MEDICARE RR PCN
MI
05
—
164490661
—
MI
05
—
235100484
—
MI
01
—
6004860
MOLINA HEALTHCARE
MI
05
—
744571714
—
MI
05
—
771860393
—
MI
01
—
88138
DELTA DENTAL
MI
01
—
OP390039
M-CARE
MI
01
—
P00055287
MEDICARE RR PTAN
MI
Enumeration date
08/31/2006
Last updated
10/29/2013
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