Healthcare Provider Details

I. General information

NPI: 1740621846
Provider Name (Legal Business Name): CITY OF ADRIAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2013
Last Update Date: 05/30/2024
Certification Date: 05/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 S MAIN ST
ADRIAN MI
49221-2615
US

IV. Provider business mailing address

PO BOX 2122
RIVERVIEW MI
48193-1122
US

V. Phone/Fax

Practice location:
  • Phone: 517-264-4856
  • Fax: 517-264-2782
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 Number461023
License Number StateMI

VIII. Authorized Official

Name: ARIC MASSINGILL
Title or Position: FIRE CHIEF
Credential:
Phone: 517-264-4879