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NPI Code Detail

MEDICARE: COUNTY OF WASHTENAW

MEDICARE: COUNTY OF WASHTENAW
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2750910468OTHERMIBLUE CROSS

General Provider Information

NPI Number : 1639132442
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF WASHTENAW
Provider Business Mailing Address
First Line : 555 TOWNER ST
Second Line : PO BOX 915
City : YPSILANTI
State : MI
Zip : 48198-5752
Country : US
Telephone Number : 734-544-3015
Fax Number : 734-544-6732
Provider Business Practice Location Address
First Line : 555 TOWNER ST
Second Line :
City : YPSILANTI
State : MI
Zip : 48198-5723
Country : US
Telephone Number : 734-544-3050
Fax Number : 734-544-6732
Authorized Official
Title or Position : DIRECTOR
Name : TRISH CORTES
Credential : RN
Telephone Number : 734-544-3050
Provider Enumeration Date : 04/11/2006
Last Update Date : 08/22/2025

Similar Medicare Providers

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Practice Location Address:
555 TOWNER ST
YPSILANTI, MI
48198-5723
Practice Phone: 734-544-3035
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1124069372 — MONTGOMERY CLAYTON BROWER M.D.
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1689766412 — LYNDA MARIE DONALD LLP
Practice Location Address:
555 TOWNER ST
YPSILANTI, MI
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Practice Fax: 734-544-6732
1841321726 — MRS. STEPHANIE ANNE SWISHER LMSW
Practice Location Address:
555 TOWNER ST
YPSILANTI, MI
48198-5723
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Practice Fax: 734-544-6732
1982879318 — KIMBERLY BETH DIEBBOLL M.A., LLP
Practice Location Address:
555 TOWNER ST
YPSILANTI, MI
48198-5723
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1992089650 — ANDREW JARED GRIER LMSW
Practice Location Address:
555 TOWNER ST
YPSILANTI, MI
48198-5723
Practice Phone: 734-544-3000
Practice Fax: 734-544-6716

Directions to “COUNTY OF WASHTENAW ” Practice Location

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