Healthcare Provider Details

I. General information

NPI: 1073638219
Provider Name (Legal Business Name): HURON COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 05/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1142 S VAN DYKE RD
BAD AXE MI
48413-9800
US

IV. Provider business mailing address

1142 S VAN DYKE RD
BAD AXE MI
48413-9800
US

V. Phone/Fax

Practice location:
  • Phone: 989-269-9721
  • Fax: 989-269-4181
Mailing address:
  • Phone: 989-269-9721
  • Fax: 989-269-4181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: GRETCHEN TENBUSCH
Title or Position: HEALTH OFFICER
Credential:
Phone: 989-269-9721