St Clair County Community Mental Health Authority in Port Huron - Community/behavioral Health

St Clair County Community Mental Health Authority - NPI 1134254394

St Clair County Community Mental Health Authority is a Community/behavioral Health in Port Huron, Michigan. St Clair County Community Mental Health Authority practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for St Clair County Community Mental Health Authority is 1134254394. The last update date is 2023-08-07.

St Clair County Community Mental Health Authority's current location address is 3111 Electric Ave, Port Huron, Michigan. You can contact this provider via phone number 8109858900 and fax number 8109857620. The mailing address for St Clair County Community Mental Health Authority is 3111 Electric Ave, Port Huron, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization St Clair County Community Mental Health Authority
Address 3111 Electric Ave, Port Huron, Michigan
Phone Number 8109858900
Fax Number 8109857620
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Johnson B Debra
Telephone Number 8109858900

NPI Number Detail

NPI Number 1134254394
Provider Enumeration Date 2007-02-21
Last Updated Date 2023-08-07

Provider Mailing Address Detail

Address 3111 Electric Ave
City Port Huron
State Michigan (MI)
Post Code 480608127
Phone Number 8109858900
Fax Number 8109857620

Provider's Primary Taxonomy Detail

Speciality Community/behavioral Health
Taxonomy 251S00000X
Definition:
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1708164 MI --
10691 MI BLUE CROSS BLUE SHIELD

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FAQs about St Clair County Community Mental Health Authority

What is the unique provider identifier assigned to St Clair County Community Mental Health Authority?

The St Clair County Community Mental Health Authority has been issued the NPI (National Provider Identifier) 1134254394 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where St Clair County Community Mental Health Authority's facilities are situated?

The facilities of St Clair County Community Mental Health Authority are physically located at the following address: 3111 Electric Ave, Port Huron, MI, 480608127.

What is the St Clair County Community Mental Health Authority's specialty and taxonomy code?

The St Clair County Community Mental Health Authority's specialty is Community/behavioral Health, and the corresponding taxonomy code is 251S00000X.

On what date did the St Clair County Community Mental Health Authority receive its 1134254394 assignment from the Centers for Medicare & Medicaid Services?

The St Clair County Community Mental Health Authority was assigned its 1134254394 by the Centers for Medicare & Medicaid Services on 2007-02-21.

As of what date were the details pertaining to St Clair County Community Mental Health Authority last refreshed?

The information related to the St Clair County Community Mental Health Authority, including its address, specialty, and other relevant details, was last updated on 2023-08-07.

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