CHILD AND FAMILY SERVICE OF SAGINAW COUNTY

Provider Demographics

• NPI: 1720069602
• Name: CHILD AND FAMILY SERVICE OF SAGINAW COUNTY
• Entity Type: Organization
• Organization Name: CHILD AND FAMILY SERVICE OF SAGINAW COUNTY
• Authorized Official - Title/Position: PRESIDENT/CEO
• Authorized Official - First Name: JILL
• Authorized Official - Middle Name: ELAINE
• Authorized Official - Last Name: HOGENSON
• Authorized Official - Phone: 989-393-4234
• Mailing Address - Street 1: 2838 AUTOMOTIVE CTR
• Mailing Address - City: SAGINAW
• Mailing Address - State: MI
• Mailing Address - Zip Code: 48603-1220
• Mailing Address - Country: US
• Mailing Address - Phone: 989-790-7500
• Mailing Address - Fax: 989-790-8037
• Practice Address - Street 1: 2838 AUTOMOTIVE CTR
• Practice Address - City: SAGINAW
• Practice Address - State: MI
• Practice Address - Zip Code: 48603-1220
• Practice Address - Country: US
• Practice Address - Phone: 989-790-7500
• Practice Address - Fax: 989-790-8037
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2005-11-08
• Last Update Date: 2022-05-02

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	1041C0700X	Behavioral Health & Social Service Providers	Social Worker	Clinical	Group - Multi-Specialty
No	101YM0800X	Behavioral Health & Social Service Providers	Counselor	Mental Health	Group - Multi-Specialty
No	103T00000X	Behavioral Health & Social Service Providers	Psychologist		Group - Multi-Specialty
No	2084P0800X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology	Psychiatry	Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
MI	0995614	Other	HP
MI	0996784	Other	HP
MI	0997602	Other	HP
MI	0995610	Other	HP
MI	0995613	Other	HP
MI	01006955	Other	HP
MI	0995608	Other	HP
MI	0996655	Other	HP
MI	0996654	Other	HP
MI	0995605	Other	HP
MI	0995606	Other	HP
MI	0995605	Other	HP
MI	0995606	Other	HP
MI	M95270002	Medicare PIN
MI	0995610	Other	HP