TOWN OF REPUBLIC; NPI #1255401410

Contact Information

TOWN OF REPUBLIC

9610 STATE HWY M95
REPUBLIC TOWNSHIP, MI 49879

Phone: 906-376-8827
Fax: 906-376-2383
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for TOWN OF REPUBLIC

NPI Number 1255401410

LBN Legal business name TOWN OF REPUBLIC

Authorized official LORI BURTON - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/08/2006

Last updated 01/05/2015 - About 11 years ago

Identifiers

Medicaid

3004406

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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