Healthcare Provider Details

I. General information

NPI: 1962682237
Provider Name (Legal Business Name): TOWNSHIP OF SOMERSET
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2007
Last Update Date: 12/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12715 EAST CHICAGO RD.
SOMERSET CENTER MI
49282-0069
US

IV. Provider business mailing address

12715 EAST CHICAGO RD.
SOMERSET CENTER MI
49282-0069
US

V. Phone/Fax

Practice location:
  • Phone: 517-688-4406
  • Fax: 517-688-9132
Mailing address:
  • Phone: 517-688-4406
  • Fax: 517-688-9132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number301009
License Number StateMI

VIII. Authorized Official

Name: MR. SCOTT FRIESS
Title or Position: FIRE CHIEF
Credential:
Phone: 517-668-4406