Healthcare Provider Details

I. General information

NPI: 1235289414
Provider Name (Legal Business Name): TOWN OF CULVER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E WASHINGTON ST
CULVER IN
46511-1534
US

IV. Provider business mailing address

PO BOX 2122
RIVERVIEW MI
48193-1122
US

V. Phone/Fax

Practice location:
  • Phone: 574-842-2773
  • Fax:
Mailing address:
  • Phone: 734-479-6300
  • Fax: 734-479-6319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number0110
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: KAREN ANN HEIM
Title or Position: CLERK/TREASURER
Credential:
Phone: 574-842-3140