Organization
COUNTY OF KALAMAZOO
Active
Other names
Kalamazoo County Health & Community Services
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS HOMNICK M.D. (MEDICAL DIRECTOR)
(269) 373-5261
Entity
Organization
Contact information
Practice address
3299 GULL RD, KALAMAZOO, MI 49048-1281
(269) 373-5360
(269) 373-5022
Mailing address
PO BOX 42, NAZARETH, MI 49074-0042
(269) 373-5360
(269) 373-5022
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
4301044487
MI
291U00000X
Clinical Medical Laboratory
Primary
4301044487
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164490661
—
MI
01
—
6004860
MOLINA HEALTHCARE
MI
01
—
OP390039
MCARE
MI
Enumeration date
12/17/2007
Last updated
10/29/2013
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