Healthcare Provider Details

I. General information

NPI: 1154242683
Provider Name (Legal Business Name): CADILLAC WEXFORD TRANSIT AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

951 CASA RD
CADILLAC MI
49601-8624
US

IV. Provider business mailing address

951 CASA RD
CADILLAC MI
49601-8624
US

V. Phone/Fax

Practice location:
  • Phone: 231-942-7848
  • Fax: 231-942-4016
Mailing address:
  • Phone: 231-942-7848
  • Fax: 231-942-4016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: TERRI TROWBRIDGE
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 231-942-7811