Organization
BENZIE LEELANAU DISTRICT HEALTH DEPT
Active
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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