Healthcare Provider Details

I. General information

NPI: 1609896018
Provider Name (Legal Business Name): COUNTY OF WASHTENAW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 10/21/2022
Certification Date: 10/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 TOWNER ST
YPSILANTI MI
48198-5752
US

IV. Provider business mailing address

555 TOWNER ST PO BOX 915
YPSILANTI MI
48198-5752
US

V. Phone/Fax

Practice location:
  • Phone: 734-544-6700
  • Fax: 734-544-6704
Mailing address:
  • Phone: 734-544-6700
  • Fax: 734-544-6704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER BRASSOW
Title or Position: FINANCE MANAGER
Credential:
Phone: 734-717-1202