Healthcare Provider Details

I. General information

NPI: 1891733820
Provider Name (Legal Business Name): ARMADA TOWNSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23175 ARMADA CENTER RD
ARMADA MI
48005-2763
US

IV. Provider business mailing address

23175 ARMADA CENTER RD
ARMADA MI
48005-2763
US

V. Phone/Fax

Practice location:
  • Phone: 586-784-9464
  • Fax:
Mailing address:
  • Phone: 586-784-9464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number501019
License Number StateMI

VIII. Authorized Official

Name: STEPHEN T KOHUT
Title or Position: FIRE CHIEF
Credential:
Phone: 586-484-7554