Provider Demographics
NPI:1972532711
Name:SANILAC COUNTY
Entity Type:Organization
Organization Name:SANILAC COUNTY
Other - Org Name:SANILAC COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DIANNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHAFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-648-4098
Mailing Address - Street 1:171 DAWSON ST
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:MI
Mailing Address - Zip Code:48471-1062
Mailing Address - Country:US
Mailing Address - Phone:810-648-4098
Mailing Address - Fax:810-648-2646
Practice Address - Street 1:171 DAWSON ST
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:MI
Practice Address - Zip Code:48471-1062
Practice Address - Country:US
Practice Address - Phone:810-648-4098
Practice Address - Fax:810-648-2646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251K00000XAgenciesPublic Health or Welfare
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4584294OtherMOLINA
MI12921OtherCAPE HEALTH PLAN
MI118764OtherGREAT LAKES HEALTH PLAN
MI20098OtherHEALTH PLAN OF MICHIGAN
MI1884395Medicaid
MI4584294Medicaid
MI4585003Medicaid
MI1015974OtherMCLAREN HEALTH PLAN
MI4585003OtherMOLINA HEALTH PLAN
MI4585003Medicaid