Healthcare Provider Details

I. General information

NPI: 1013147321
Provider Name (Legal Business Name): COUNTY OF CALHOUN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2009
Last Update Date: 07/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1023 AVENUE A
SPRINGFIELD MI
49037-7605
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 269-969-6376
  • Fax:
Mailing address:
  • Phone: 269-969-6376
  • Fax:

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: JAMES RUTHERFORD
Title or Position: HEALTH OFFICER
Credential:
Phone: 269-969-6380