DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: HURON COUNTY COMMUNITY MENTAL HEALTH AUTHORITY

MEDICARE: HURON COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
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
17509109570OTHERMIBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659485514
Entity Type Code : Organization
Provider Name (Legal Business Name) : HURON COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Provider Business Mailing Address
First Line : 1375 R DALE WERTZ DR
Second Line :
City : BAD AXE
State : MI
Zip : 48413-1365
Country : US
Telephone Number : 989-269-9293
Fax Number : 989-269-7544
Provider Business Practice Location Address
First Line : 1375 R DALE WERTZ DR
Second Line :
City : BAD AXE
State : MI
Zip : 48413-1365
Country : US
Telephone Number : 989-269-9293
Fax Number : 989-269-7544
Authorized Official
Title or Position : REIMBURSEMENT COORDINATOR
Name : JEANETTE JOHNSON
Credential :
Telephone Number : 989-269-1129
Provider Enumeration Date : 08/18/2006
Last Update Date : 02/13/2020

Similar Medicare Providers

1073999728 — KATHY CHAMPAGNE
Practice Location Address:
1375 R DALE WERTZ DR
BAD AXE, MI
48413-1365
Practice Phone: 989-269-9293
Practice Fax: 989-269-7544
1023125622 — YOLANDA C EDLER M.D.
Practice Location Address:
1375 R DALE WERTZ DR
BAD AXE, MI
48413-1365
Practice Phone: 989-269-9293
Practice Fax:
1598807828 — MRS. LYNDA MARION VARGO LMSW
Practice Location Address:
1375 R DALE WERTZ DR
BAD AXE, MI
48413-1365
Practice Phone: 989-269-9293
Practice Fax:
1154615953 — MS. CARMEN KAYE SCHANTZ LMSW
Practice Location Address:
1375 R DALE WERTZ DR
BAD AXE, MI
48413-1365
Practice Phone: 989-269-9293
Practice Fax:
1033460829 — ERIC READ LMSW
Practice Location Address:
1375 R DALE WERTZ DR
BAD AXE, MI
48413-1365
Practice Phone: 989-269-9293
Practice Fax: 989-269-7544
1053659805 — BETTY ANN SMITH MA, LLPC
Practice Location Address:
1375 R DALE WERTZ DR
BAD AXE, MI
48413-1365
Practice Phone: 989-269-9293
Practice Fax:

Directions to “HURON COUNTY COMMUNITY MENTAL HEALTH AUTHORITY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.