Healthcare Provider Details

I. General information

NPI: 1679784250
Provider Name (Legal Business Name): TOWNSHIP OF ADRIAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 03/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2889 TIPTON HWY
ADRIAN MI
49221-9218
US

IV. Provider business mailing address

PO BOX 2122
RIVERVIEW MI
48193-1122
US

V. Phone/Fax

Practice location:
  • Phone: 517-265-1314
  • Fax: 517-266-1672
Mailing address:
  • Phone: 734-479-6300
  • Fax: 734-479-6319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number461013
License Number StateMI

VIII. Authorized Official

Name: MR. TIM BARTENSLAGER JR.
Title or Position: FIRE CHIEF
Credential:
Phone: 517-265-1314