MEDICARE: HURON COUNTY HEALTH DEPARTMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073638219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HURON COUNTY HEALTH DEPARTMENT

Provider Business Mailing Address
First Line	:	1142 S VAN DYKE RD
Second Line	:
City	:	BAD AXE
State	:	MI
Zip	:	48413-9800
Country	:	US
Telephone Number	:	989-269-9721
Fax Number	:	989-269-4181

Provider Business Practice Location Address
First Line	:	1142 S VAN DYKE RD
Second Line	:
City	:	BAD AXE
State	:	MI
Zip	:	48413-9800
Country	:	US
Telephone Number	:	989-269-9721
Fax Number	:	989-269-4181

Authorized Official
Title or Position	:	HEALTH OFFICER
Name	:	GRETCHEN TENBUSCH
Credential	:
Telephone Number	:	989-269-9721

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	02/18/2026

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Directions to “HURON COUNTY HEALTH DEPARTMENT ” Practice Location

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