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NPI Code Detail

MEDICARE: CHARTER TOWNSHIP OF WEST BLOOMFIELD

MEDICARE: CHARTER TOWNSHIP OF WEST BLOOMFIELD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1341600000XAmbulance341600000XMI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2590F302170OTHERMIBCBSM

General Provider Information

NPI Number : 1538103619
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHARTER TOWNSHIP OF WEST BLOOMFIELD
Provider Business Mailing Address
First Line : PO BOX 2122
Second Line :
City : RIVERVIEW
State : MI
Zip : 48193-1122
Country : US
Telephone Number : 734-479-6300
Fax Number : 734-479-6319
Provider Business Practice Location Address
First Line : 5425 W. MAPLE RD.
Second Line :
City : WEST BLOOMFIELD
State : MI
Zip : 48322-3035
Country : US
Telephone Number : 248-409-1505
Fax Number : 248-406-0060
Authorized Official
Title or Position : EMS COORDINATOR
Name : MR. GREG FLYNN
Credential : EMT P IC
Telephone Number : 248-409-1505
Provider Enumeration Date : 06/16/2006
Last Update Date : 04/12/2011

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Directions to “CHARTER TOWNSHIP OF WEST BLOOMFIELD ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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