VAN BUREN CASS DISTRICT HEALTH DEPARTMENT
NPI 1063622769
Community/Behavioral Health in Hartford, MI

NPI Status: Active since May 23, 2007

Contact Information

57418 COUNTY ROAD 681
HARTFORD, MI
ZIP 49057
Phone: (269) 621-3143

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 23D2029008
  • CLIA Cert. Type: Other - PUBLIC HEALTH DEPT
  • CLIA Exp. Date: 08-29-2025

About VAN BUREN CASS DISTRICT HEALTH DEPARTMENT

This page provides the complete NPI Profile along with additional information for Van Buren Cass District Health Department, a provider established in Hartford, Michigan operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1063622769 assigned on May 2007. The practitioner's primary taxonomy code is 251S00000X with license number 800001 (MI). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mrs. Nicole Vansandt (Division Director Substance Abuse)

NPI
1063622769
Provider Name
VAN BUREN CASS DISTRICT HEALTH DEPARTMENT
Entity Type
Organization
Location Address
57418 COUNTY ROAD 681 HARTFORD, MI 49057
Location Phone
(269) 621-3143
Mailing Address
57418 COUNTY ROAD 681 HARTFORD, MI 49057
Mailing Phone
(269) 621-3143
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2007
Last Update Date
08-02-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
800001
License State
MI
Taxonomy Description
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 disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. NICOLE VANSANDT

Authorized Official Title
DIVISION DIRECTOR SUBSTANCE ABUSE
Authorized Official Phone
(269) 621-3143

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2029008
Facility Type
Other - PUBLIC HEALTH DEPT
Certificate Effective Date
August 30, 2023
Certificate Expiration Date
August 29, 2025
Laboratory Director
LARRY E. WILE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Van Buren Cass District Health Department to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for VAN BUREN CASS DISTRICT HEALTH DEPARTMENT

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063622769
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201231224712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 2 + 2 + 4 + 7 + 1 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1063622769 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033201348VAN BUREN-CASS COUNTY DISTRICT HEALTH DEPARTMENT
Organization
Dentist (Dental Public Health)57418 COUNTY ROAD 681 SUITE A
HARTFORD, MI 49057
(269) 621-3143
1366571200 DOUGLAS SCOTT JOHANSEN DDS
Individual
Dentist57418 COUNTY ROAD 681
HARTFORD, MI 49057
(269) 621-3143
1730303199 SAMIE LEDYARD LLPC, MA
Individual
Counselor (Addiction (Substance Use Disorder))57418 COUNTY ROAD 681
HARTFORD, MI 49057
(269) 621-3143
1063622215MS. JANET CRAWFORD MSW
Individual
Counselor (Addiction (Substance Use Disorder))57418 COUNTY ROAD 681
HARTFORD, MI 49057
(269) 621-3143
1932309945VAN BUREN/CASS DISTRICT HEALTH DEPARTMENT
Organization
Community/Behavioral Health57418 COUNTY ROAD 681
HARTFORD, MI 49057
(269) 621-3143
1952731929 SUNNY SCHENKEL RDH
Individual
Dental Hygienist57418 COUNTY ROAD 681
HARTFORD, MI 49057
(269) 621-6159
1861822835 EMILY SCHROCK RDH
Individual
Dental Hygienist57418 COUNTY ROAD 681
HARTFORD, MI 49057
(269) 621-6159
1417387481MS. MELISSA KAY WHITCOMB RDH
Individual
Dental Hygienist57418 COUNTY ROAD 681
HARTFORD, MI 49057
(269) 621-6159
1184044505VAN BUREN/CASS DISTRICT PUBLIC HEALTH DEPARTMENT
Organization
Dental Hygienist57418 COUNTY ROAD 681
HARTFORD, MI 49057
(269) 621-3143
1194132092 CRISTY CRISTY EVANS RDH
Individual
Dental Hygienist57418 COUNTY ROAD 681
HARTFORD, MI 49057
(180) 021-0192
1720465347VAN BUREN/CASS DISTRICT PUBLIC HEALTH DEPARTMENT
Organization
Public Health or Welfare57418 COUNTY ROAD 681 SUITE A
HARTFORD, MI 49057
(269) 621-3143
1518336734 LISA MARIE ZELMER RDH
Individual
Dental Hygienist57418 COUNTY ROAD 681
HARTFORD, MI 49057
(269) 621-3143
1568843175 ANDREA GODAWA D.D.S
Individual
Dentist57418 COUNTY ROAD 681
HARTFORD, MI 49057
(269) 621-6159
1295097889VAN BUREN COMMUNITY MENTAL HEALTH AUTHORITY
Organization
Psychiatry & Neurology (Psychiatry)57418 COUNTY ROAD 681 SUITE C
HARTFORD, MI 49057
(269) 621-6251
1740402312VAN BUREN CASS DISTRICT PUBLIC HEALTH DEPT
Organization
Public Health or Welfare57418 COUNTY ROAD 681
HARTFORD, MI 49057
(269) 621-3143
1316251200MISS JULIE ANN STRONG M.A.,L.L.P.,C.A.A.C.
Individual
Psychologist (Clinical)57418 COUNTY ROAD 681
HARTFORD, MI 49057
(269) 621-3143
1912396516 PETER JOHN KOSHAR JR. LMSW
Individual
Counselor (Mental Health)57418 COUNTY ROAD 681
HARTFORD, MI 49057
(269) 657-5574

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063622769, enumerated in the NPI registry as an "organization" on May 23, 2007

The provider is located at 57418 County Road 681 Hartford, Mi 49057 and the phone number is (269) 621-3143

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider's CLIA number is 23D2029008 for a "other - public health dept" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 23, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.