=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619048865
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CHARTER TOWNSHIP OF OXFORD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/10/2006
-----------------------------------------------------
Last Update Date | 10/23/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 96 N WASHINGTON ST
-----------------------------------------------------
City | OXFORD
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48371-4668
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-969-9483
-----------------------------------------------------
Fax | 248-969-9489
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 96 N WASHINGTON PO BOX 911
-----------------------------------------------------
City | OXFORD
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48371
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-969-9483
-----------------------------------------------------
Fax | 248-969-9489
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FIRE CHIEF
-----------------------------------------------------
Name | MATTHEW MAJESTIC
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 248-969-9483
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number | 631033
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------