# BENTON TOWNSHIP

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

## Provider details

- **NPI number:** 1205257714
- **Authorized official:** TIMOTHY JAMES (FIRE CHIEF)
- **Authorized official phone:** (517) 645-7061

## Contact information

- **Practice address:** 4713 HARTEL RD, POTTERVILLE, MI 48876-9702
- **Practice address phone:** (517) 645-7061
- **Mailing address:** 1701 LAKE LANSING RD, SUITE 100, LANSING, MI 48912-3798
- **Mailing address phone:** (517) 485-0001

## Taxonomy

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

## Other

- **Enumeration date:** 12/31/2013
- **Last updated:** 12/31/2013