Organization
BENZIE LEELANAU DISTRICT HEALTH DEPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL R. THORELL JR. (HEALTH OFFICER)
(231) 882-2112
Entity
Organization
Contact information
Practice address
6051 FRANKFORT HWY, SUITE 100, BENZONIA, MI 49616
(231) 882-4409
(231) 882-2204
Mailing address
6051 FRANKFORT HWY, SUITE 100, BENZONIA, MI 49616
(231) 882-4409
(231) 882-2204
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233302186
—
MI
05
—
233302195
—
MI
01
—
3302186
MEDICAID HMO
MI
01
—
3302195
MOLINA HEALTH CARE OF MI
MI
Enumeration date
03/20/2007
Last updated
06/19/2023
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