Organization
DISTRICT HEALTH DEPARTMENT NO. 4
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRUNING (ADMINISTRATIVE HEALTH OFFICER)
(989) 356-4507
Entity
Organization
Contact information
Practice address
100 WOODS CIR, SUITE 200, ALPENA, MI 49707-1444
(989) 356-4507
(989) 358-7997
Mailing address
100 WOODS CIR, SUITE 200, ALPENA, MI 49707-1444
(989) 356-4507
(989) 358-7997
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E041
BC/BS OF MICHIGAN
MI
01
—
1012525-0001
WELLNESS PLAN
MI
05
—
1850360
—
MI
05
—
4357429
—
MI
05
—
4357438
—
MI
05
—
4357447
—
MI
05
—
4357465
—
MI
01
—
5008752000
BCBS - MILLER
MI
01
—
5008767580
BCBS - THOMPSON
MI
01
—
5008768130
BCBS - MINK
MI
05
—
5101374
—
MI
05
—
5173865
—
MI
Enumeration date
03/31/2006
Last updated
04/10/2012
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