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Contact Information

VILLAGE OF DETOUR
206 S ONTARIO STREET
DE TOUR VILLAGE, MI49725
 Phone: 906-297-5471
 Fax: 906-297-2107
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for VILLAGE OF DETOUR

NPI Number 1467643320
LBN Legal business name VILLAGE OF DETOUR
Authorized official LINDA FISHER - (CLERK)
Entity Organization
Organization subpart 1 No
Enumeration date 08/06/2007
Last updated 08/06/2007 - About 19 years ago
Identifiers
MI License # 17 1002
MI Medicaid 3001709
MI Other OA70003 BLUE CROSS OF MICHIGAN
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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