Provider Demographics
NPI:1700978632
Name:LIVINGSTON COUNTY TREASURER
Entity Type:Organization
Organization Name:LIVINGSTON COUNTY TREASURER
Other - Org Name:LIVINGSTON COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-546-9850
Mailing Address - Street 1:2300 E. GRAND RIVER AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843
Mailing Address - Country:US
Mailing Address - Phone:517-546-9850
Mailing Address - Fax:517-546-6995
Practice Address - Street 1:2300 E. GRAND RIVER AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843
Practice Address - Country:US
Practice Address - Phone:517-546-9850
Practice Address - Fax:517-546-6995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4798737Medicaid
MI4294454Medicaid
MI4294454Medicaid