Healthcare Provider Details

I. General information

NPI: 1245561620
Provider Name (Legal Business Name): ST CLAIR COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2010
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 FORT ST
PORT HURON MI
48060-3850
US

IV. Provider business mailing address

220 FORT ST
PORT HURON MI
48060-3850
US

V. Phone/Fax

Practice location:
  • Phone: 810-987-9396
  • Fax: 810-985-2150
Mailing address:
  • Phone: 810-987-9396
  • Fax: 810-985-2150

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 Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GREG BROWN
Title or Position: ADMINISTRATOR
Credential:
Phone: 810-987-5300