TOWNSHIP OF GREEN LAKE GRAND TRAVERSE COUNTY; NPI #1669524948

Contact Information

TOWNSHIP OF GREEN LAKE GRAND TRAVERSE COUNTY

9394 10TH ST
INTERLOCHEN, MI 49643

Phone: 231-276-6297
Fax: 231-276-9388
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 TOWNSHIP OF GREEN LAKE GRAND TRAVERSE COUNTY

NPI # 1669524948

LBN Legal business name TOWNSHIP OF GREEN LAKE GRAND TRAVERSE COUNTY

Authorized official MICHAEL STINSON - (FIRE CAPTAIN)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/17/2007

Last updated 11/22/2016 - About 10 years ago

Identifiers

MI	License #	281005
MI	Medicaid	3295644
MI	Other	0B80013	BLUE CROSS BLUE SHIELD
MI	Other	26364	PRIORITY HEALTH

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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