CITY OF EAST JORDAN; NPI #1558428177

Contact Information

CITY OF EAST JORDAN

201 MAIN STREET
EAST JORDAN, MI 49727

Phone: 231-536-7881
Fax: 231-536-2785
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 CITY OF EAST JORDAN

NPI Number 1558428177

LBN Legal business name CITY OF EAST JORDAN

Authorized official GERALD PECK - (DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/02/2007

Last updated 11/10/2009 - About 17 years ago

Identifiers

MI	License #	151003
MI	Medicaid	3001914

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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CITY OF EAST JORDAN

Contact Information

Specialty

Land Transport

NPI Profile & details for CITY OF EAST JORDAN

Reviews for CITY OF EAST JORDAN