Healthcare Provider Details

I. General information

NPI: 1992735732
Provider Name (Legal Business Name): HILLMAN FIRE DEPT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 03/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 W 3RD ST
HILLMAN MI
49746-9030
US

IV. Provider business mailing address

PO BOX 59
HILLMAN MI
49746-0059
US

V. Phone/Fax

Practice location:
  • Phone: 989-742-3221
  • Fax: 989-742-4422
Mailing address:
  • Phone: 989-742-3221
  • Fax: 989-742-4422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number601002
License Number StateMI

VIII. Authorized Official

Name: MR. RICHARD L ROD
Title or Position: TREASURER
Credential:
Phone: 989-742-3221