Organization
JACKSON COUNTY
Active
Parent organization
JACKSON COUNTY
Other names
Jackson County Health Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON COUNTY
Authorized official
ASHLEY HOBART (SR ACCOUNT CLERK)
(517) 768-1636
Entity
Organization
Contact information
Practice address
1715 LANSING AVE, JACKSON, MI 49202-2193
(517) 788-4420
(517) 788-4373
Mailing address
1715 LANSING AVE, JACKSON, MI 49202-2192
(517) 788-4420
(517) 788-4373
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1330
HEALTH PLAN OF MICHIGAN
MI
01
—
1339
HEALTH PLAN OF MICHIGAN
MI
05
—
15 5173678
—
MI
05
—
23 5100475
—
MI
01
—
4300
GREAT LAKES HEALTH PLAN
MI
05
—
77 1850332
—
MI
05
—
77 279528
—
MI
05
—
77 3144336
—
MI
05
—
77 3363548
—
MI
05
—
77 4387900
—
MI
05
—
77 4411612
—
MI
05
—
77 4411621
—
MI
01
—
85
HEALTH PLAN OF MICHIGAN
MI
01
—
868
HEALTH PLAN OF MICHIGAN
MI
01
—
895
GREAT LAKES HEALTH PLAN
MI
01
—
OC8100
BLUE CARE NETWORK OF MI
MI
Enumeration date
08/05/2006
Last updated
03/13/2026
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