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NPI Code Detail

MEDICARE: TOWNSHIP OF IRA

MEDICARE: TOWNSHIP OF IRA
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
1341600000XAmbulance741018MI

General Provider Information

NPI Number : 1972784254
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOWNSHIP OF IRA
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 : 7085 MELDRUM RD
Second Line :
City : IRA
State : MI
Zip : 48023-2427
Country : US
Telephone Number : 586-725-0263
Fax Number : 586-725-8790
Authorized Official
Title or Position : SUPERVISOR
Name : MR. ROBERT MCCOY
Credential :
Telephone Number : 586-725-0263
Provider Enumeration Date : 11/15/2007
Last Update Date : 02/16/2010

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Directions to “TOWNSHIP OF IRA ” Practice Location

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