JACKSON COUNTY HEALTH DEPARTMENT
NPI 1073032355
Case Manager/Care Coordinator in Jackson, MI

Active since September 18, 2017CLIA 23D2029854 · Waiver
1715 LANSING AVE, JACKSON, MI 49202(517) 788-4420(517) 788-4373 Get Directions Write a Review

NPPES record last updated: September 18, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jackson County Health Department NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON COUNTY HEALTH DEPARTMENT (NPI 1073032355) is a healthcare organization registered as a case manager/care coordinator in Jackson, Michigan and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through January 9, 2027 and lists Richard Thoune, Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1073032355
Entity TypeOrganization
Primary Taxonomy171M00000X
Legal Business NameJACKSON COUNTY
Location Address1715 LANSING AVEJackson, MI 49202-2193
Mailing Address1715 Lansing AveJackson, MI 49202-2193 · (517) 788-4420 · Fax (517) 788-4373
Fax(517) 788-4373
Organization SubpartYesParent: County Of Jackson
Authorized OfficialRichard ThouneMedical Officer · (517) 768-1658
Enumeration DateSeptember 18, 2017
NPI 1073032355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

1715 LANSING AVE, Jackson, MI 49202

Other Names 1

Doing Business AsJackson County Health Department

Other Identifiers 1

Medicaid77279528MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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
23D2029854
Facility Type
Other - HEALTH DEPARTMENT
Certificate Effective Date
January 10, 2025
Certificate Expiration Date
January 09, 2027
Laboratory Director
MATTHEW K. BUDD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Jackson County 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 JACKSON COUNTY HEALTH DEPARTMENT

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

In Home Supportive Care
1715 LANSING AVE, SUITE 672
JACKSON, MI 49202
Counselor
1715 LANSING AVE, SUITE 672
JACKSON, MI 49202
Clinical Nurse Specialist
1715 LANSING AVE
JACKSON, MI 49202
Social Worker (Clinical)
1715 LANSING AVE
JACKSON, MI 49202
Preventive Medicine (Public Health & General Preventive Medicine)
1715 LANSING AVE
JACKSON, MI 49202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073032355, enumerated as an "organization" on September 18, 2017.

The provider is located at 1715 LANSING AVE JACKSON, MI 49202 and the phone number is (517) 788-4420.

Case Manager/Care Coordinator with taxonomy code 171M00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.