MEDICARE: COUNTY OF CALHOUN

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

General Provider Information

NPI Number	:	1871682864
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF CALHOUN

Provider Business Mailing Address
First Line	:	190 E MICHIGAN AVE
Second Line	:	SUITE A100
City	:	BATTLE CREEK
State	:	MI
Zip	:	49014-4005
Country	:	US
Telephone Number	:	269-969-6376
Fax Number	:

Provider Business Practice Location Address
First Line	:	34 GREEN ST
Second Line	:
City	:	BATTLE CREEK
State	:	MI
Zip	:	49014-4029
Country	:	US
Telephone Number	:	269-962-6565
Fax Number	:

Authorized Official
Title or Position	:	HEALTH OFFICER
Name	:	MS. DOTTIE KAY BOWERSOX
Credential	:
Telephone Number	:	269-969-6380

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	08/22/2020

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Directions to “COUNTY OF CALHOUN ” Practice Location

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