Healthcare Provider Details

I. General information

NPI: 1407378227
Provider Name (Legal Business Name): COUNTY OF INGHAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2017
Last Update Date: 04/28/2022
Certification Date: 04/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 N LARCH ST
LANSING MI
48912-1266
US

IV. Provider business mailing address

PO BOX 30161
LANSING MI
48909-7661
US

V. Phone/Fax

Practice location:
  • Phone: 517-253-5000
  • Fax: 517-253-5010
Mailing address:
  • Phone: 517-244-8019
  • Fax: 517-244-7174

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: KRIS DRAKE
Title or Position: DHO / ED
Credential:
Phone: 517-887-4361