Healthcare Provider Details

I. General information

NPI: 1508084468
Provider Name (Legal Business Name): DRUMMOND ISLAND TOWNSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 01/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29935 E. PINE ST
DRUMMOND ISLAND MI
49726-0225
US

IV. Provider business mailing address

PO BOX 225 29935 E. PINE ST.
DRUMMOND ISLAND MI
49726-0225
US

V. Phone/Fax

Practice location:
  • Phone: 906-493-5321
  • Fax: 906-493-5404
Mailing address:
  • Phone: 906-493-5321
  • Fax: 906-493-5404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number171003
License Number StateMI

VIII. Authorized Official

Name: MRS. KATHERINE ANN COULTER
Title or Position: TOWNSHIP CLERK
Credential:
Phone: 906-493-5321