Healthcare Provider Details

I. General information

NPI: 1639291933
Provider Name (Legal Business Name): CHIPPEWA COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 02/26/2021
Certification Date: 02/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 ASHMUN ST STE 120
SAULT SAINTE MARIE MI
49783-1976
US

IV. Provider business mailing address

508 ASHMUN ST STE 120
SAULT SAINTE MARIE MI
49783-1976
US

V. Phone/Fax

Practice location:
  • Phone: 906-635-1568
  • Fax: 906-253-1466
Mailing address:
  • Phone: 906-635-1568
  • Fax: 906-253-1466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number4301030101
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KAREN MARIE SENKUS
Title or Position: HEALTH OFFICER
Credential:
Phone: 906-635-1566