Healthcare Provider Details

I. General information

NPI: 1780759803
Provider Name (Legal Business Name): SEBEWAING TOWNSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 04/15/2022
Certification Date: 04/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 SHARPSTEEN ST
SEBEWAING MI
48759
US

IV. Provider business mailing address

PO BOX 687 14 SHARPSTEEN
SEBEWAING MI
48759
US

V. Phone/Fax

Practice location:
  • Phone: 989-883-2120
  • Fax: 989-883-9723
Mailing address:
  • Phone: 989-883-2503
  • Fax: 989-883-2515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number321005
License Number StateMI

VIII. Authorized Official

Name: JUDY GREGORY
Title or Position: TREASURER
Credential:
Phone: 989-883-2120