Healthcare Provider Details

I. General information

NPI: 1457286403
Provider Name (Legal Business Name): COUNTY OF NEWAYGO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

93 S. GIBBS STREET
WHITE CLOUD MI
49349
US

IV. Provider business mailing address

93 S. GIBBS STREET, PO BOX 885
WHITE CLOUD MI
49349
US

V. Phone/Fax

Practice location:
  • Phone: 231-689-2100
  • Fax: 231-689-0871
Mailing address:
  • Phone: 231-689-7363
  • Fax: 231-689-0871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER WREN
Title or Position: COUNTY ADMINISTRATOR
Credential:
Phone: 231-689-7203