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Contact Information

JACKSON-HILLSDALE COMMUNITY MENTAL HEALTH BOARD
1200 N. WEST AVENUE
JACKSON, MI49202
 Phone: 517-789-1209
 Fax: 517-796-4532
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for JACKSON-HILLSDALE COMMUNITY MENTAL HEALTH BOARD

NPI # 1043530603
LBN Legal business name JACKSON-HILLSDALE COMMUNITY MENTAL HEALTH BOARD
Authorized official MARIBETH LEONARD - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/07/2010
Last updated 07/17/2024 - More than a year ago
Identifiers
MI Medicaid 1712229
MI Medicaid 171229
MI Other 0C87612 MEDICARE ID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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