Provider Demographics
NPI:1487201620
Name:COUNTY OF INGHAM
Entity Type:Organization
Organization Name:COUNTY OF INGHAM
Other - Org Name:GARDNER ICHD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DHO / ED
Authorized Official - Prefix:
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DRAKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-887-4361
Mailing Address - Street 1:PO BOX 30161
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48909-7661
Mailing Address - Country:US
Mailing Address - Phone:517-244-8060
Mailing Address - Fax:
Practice Address - Street 1:333 DAHLIA DR
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-3789
Practice Address - Country:US
Practice Address - Phone:517-244-8060
Practice Address - Fax:517-244-7180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-22
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare