Healthcare Provider Details

I. General information

NPI: 1417023664
Provider Name (Legal Business Name): CHARTER TOWNSHIP OF HURON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 12/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22950 HURON RIVER DR.
NEW BOSTON MI
48164-9791
US

IV. Provider business mailing address

22950 HURON RIVER DR.
NEW BOSTON MI
48164-9791
US

V. Phone/Fax

Practice location:
  • Phone: 734-753-4466
  • Fax: 734-753-4111
Mailing address:
  • Phone: 734-753-4466
  • Fax: 734-753-4111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number821016
License Number StateMI

VIII. Authorized Official

Name: MRS. DAWNETTE K BOWERS
Title or Position: TOWNSHIP CLERK
Credential:
Phone: 734-753-4466