Healthcare Provider Details

I. General information

NPI: 1982768032
Provider Name (Legal Business Name): BARRY-EATON DISTRICT HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 03/15/2023
Certification Date: 03/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 HEALTHCARE DR
CHARLOTTE MI
48813-1058
US

IV. Provider business mailing address

1033 HEALTHCARE DR
CHARLOTTE MI
48813-1058
US

V. Phone/Fax

Practice location:
  • Phone: 517-543-2430
  • Fax: 517-543-2656
Mailing address:
  • Phone: 517-543-2430
  • Fax: 517-543-2656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. COLETTE SCRIMGER
Title or Position: HEALTH OFFICER
Credential:
Phone: 517-541-2602