Healthcare Provider Details

I. General information

NPI: 1316279045
Provider Name (Legal Business Name): DISTRICT HEALTH DEPARTMENT #10
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2010
Last Update Date: 02/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1049 E NEWELL ST
WHITE CLOUD MI
49349-8795
US

IV. Provider business mailing address

1049 E NEWELL ST PO BOX 850
WHITE CLOUD MI
49349-8795
US

V. Phone/Fax

Practice location:
  • Phone: 231-689-7300
  • Fax: 231-689-7360
Mailing address:
  • Phone: 231-689-7300
  • Fax: 231-689-7360

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: MRS. CHRISTINE C LOPEZ
Title or Position: ADMINISTRATIVE SERVICES DIRECTOR
Credential:
Phone: 231-355-7522