Healthcare Provider Details

I. General information

NPI: 1053478222
Provider Name (Legal Business Name): COUNTY OF CALHOUN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 W GREEN ST SUITE 1-600
MARSHALL MI
49068-1518
US

IV. Provider business mailing address

190 E MICHIGAN AVE SUITE A100
BATTLE CREEK MI
49014-4005
US

V. Phone/Fax

Practice location:
  • Phone: 269-781-0909
  • Fax: 269-781-0958
Mailing address:
  • Phone: 269-969-6376
  • Fax: 269-966-1489

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: DOTTIE KAY BOWERSOX
Title or Position: HEALTH OFFICER
Credential:
Phone: 269-969-6380