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Contact Information

CLARK TOWNSHIP - MACKINAC COUNTY
212 S MERIDIAN ST
CEDARVILLE, MI49719
 Phone: 906-484-2672
 Fax: 906-484-3199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for CLARK TOWNSHIP - MACKINAC COUNTY

NPI # 1790860278
LBN Legal business name CLARK TOWNSHIP - MACKINAC COUNTY
Authorized official SUSAN RUTLEDGE - (TOWNSHIP CLERK)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2006
Last updated 03/08/2013 - About 13 years ago
Identifiers
MI License # 491001
MI Medicaid 183001549
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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