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Contact Information

VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY
57418 CR 681
SUITE C
HARTFORD, MI49057
 Phone: 269-621-6251
 Fax: 269-621-6044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY

NPI Number 1982916045
LBN Legal business name VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY
Authorized official DEBRA HESS - (C.E.O.)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/06/2010
Last updated 07/09/2010 - About 16 years ago
Identifiers
MI Medicaid 1705298
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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