MEDICARE: HILLMAN FIRE DEPT

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	341600000X	Ambulance	601002	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	590005578	OTHER	MI	RAIL ROAD MEDICARE

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
3	590F00020	OTHER	MI	BCBS OF MICHIGAN

General Provider Information

NPI Number	:	1992735732
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HILLMAN FIRE DEPT

Provider Business Mailing Address
First Line	:	PO BOX 59
Second Line	:
City	:	HILLMAN
State	:	MI
Zip	:	49746-0059
Country	:	US
Telephone Number	:	989-742-3221
Fax Number	:	989-742-4422

Provider Business Practice Location Address
First Line	:	131 W 3RD ST
Second Line	:
City	:	HILLMAN
State	:	MI
Zip	:	49746-9030
Country	:	US
Telephone Number	:	989-742-3221
Fax Number	:	989-742-4422

Authorized Official
Title or Position	:	TREASURER
Name	:	MR. RICHARD L ROD
Credential	:
Telephone Number	:	989-742-3221

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	03/18/2009

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Directions to “HILLMAN FIRE DEPT ” Practice Location

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