Organization
BARRY-EATON DISTRICT HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD E WINGATE (FINANCE OFFICER)
(517) 541-2673
Entity
Organization
Contact information
Practice address
330 W WOODLAWN AVE, HASTINGS, MI 49058-1035
(517) 541-2673
(517) 543-2656
Mailing address
1033 HEALTHCARE DR, CHARLOTTE, MI 48813-1058
(517) 541-2673
(517) 543-2656
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1845717
—
MI
05
—
5100027
—
MI
01
—
P00297302
RR RETIREMENT MASS IMMUNI
MI
Enumeration date
01/25/2007
Last updated
08/22/2020
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