Healthcare Provider Details

I. General information

NPI: 1518907013
Provider Name (Legal Business Name): COUNTY OF OSCODA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 05/03/2024
Certification Date: 05/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 S. COURT ST.
MIO MI
48647-9633
US

IV. Provider business mailing address

PO BOX 2122
RIVERVIEW MI
48193-1122
US

V. Phone/Fax

Practice location:
  • Phone: 989-826-3313
  • Fax: 989-826-1174
Mailing address:
  • Phone: 800-926-6985
  • Fax: 734-479-6319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number3416L0300X
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number681001
License Number StateMI

VIII. Authorized Official

Name: ROBERT J STANKIEWICZ
Title or Position: EMS DIRECTOR
Credential:
Phone: 989-889-1956