Provider Demographics
NPI:1669497053
Name:COUNTY OF TUSCOLA HEALTH DEPT.
Entity Type:Organization
Organization Name:COUNTY OF TUSCOLA HEALTH DEPT.
Other - Org Name:TUSCOLA COUNTY HEALTH DEPT.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:GRETCHEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:TENBUSCH
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSA
Authorized Official - Phone:989-673-8114
Mailing Address - Street 1:1309 CLEAVER RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CARO
Mailing Address - State:MI
Mailing Address - Zip Code:48723-9160
Mailing Address - Country:US
Mailing Address - Phone:989-673-8114
Mailing Address - Fax:989-673-7490
Practice Address - Street 1:1309 CLEAVER RD
Practice Address - Street 2:SUITE B
Practice Address - City:CARO
Practice Address - State:MI
Practice Address - Zip Code:48723-9160
Practice Address - Country:US
Practice Address - Phone:989-673-8114
Practice Address - Fax:989-673-7490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101005982251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
235100976OtherHEALTH PLAN OF MICHIGAN
2676468OtherMOLINA HEALTHCARE
5100976OtherMOLINA HEALTHCARE
771897956OtherHEALTH PLAN OF MICHIGAN
MI771897956Medicaid
0984564OtherHEALTH PLUS OF MICHIGAN
1000777OtherHEALTH ADVANTAGE
700G96012OtherBCBSM
1897956OtherMOLINA HEALTHCARE
MI235100976Medicaid
118756OtherGREAT LAKES HEALTH PLAN
5008706080OtherBCBSM
700G960120OtherBLUE CARE NETWORK
1000777OtherMCLAREN
772676468OtherHEALTH PLAN OF MICHIGAN
MI772676468Medicaid
700G96012OtherBCBSM