MEDICARE: LIVINGSTON COUNTY TREASURER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	471001	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073516118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVINGSTON COUNTY TREASURER

Provider Business Mailing Address
First Line	:	1911 TOOLEY RD
Second Line	:
City	:	HOWELL
State	:	MI
Zip	:	48855-8703
Country	:	US
Telephone Number	:	517-546-6220
Fax Number	:

Provider Business Practice Location Address
First Line	:	1911 TOOLEY RD
Second Line	:
City	:	HOWELL
State	:	MI
Zip	:	48855-8703
Country	:	US
Telephone Number	:	517-546-6220
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. DAVID D FELDPAUSCH
Credential	:
Telephone Number	:	517-540-7865

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	09/02/2020

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