# THORNAPPLE TOWNSHIP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124107248
- **Authorized official:** MS. DEBRA KAVALUSKIS-BUCKOWING (TOWNSHIP TREASURER)
- **Authorized official phone:** (269) 795-7202

## Contact information

- **Practice address:** 128 HIGH STREET, MIDDLEVILLE, MI 49333-0459
- **Practice address phone:** (269) 795-3350
- **Practice address fax:** (269) 795-7051
- **Mailing address:** 128 HIGH STREET, PO BOX 459, MIDDLEVILLE, MI 49333-0459
- **Mailing address phone:** (269) 795-3350
- **Mailing address fax:** (269) 795-7051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 081004 | MI | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 06/28/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3003697 | — | MI |
| 01 | — | 590Z80010 | BCBSM | MI |
| 01 | — | 990008613 | RR MEDICARE | MI |