# CITY OF TRAVERSE CITY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1396022109
- **Authorized official:** MR. JAMES TULLER (FIRE CHIEF)
- **Authorized official phone:** (231) 922-4930

## Contact information

- **Practice address:** 400 BOARDMAN AVE, TRAVERSE CITY, MI 49684-2542
- **Practice address phone:** (231) 922-4930
- **Practice address fax:** (231) 922-4872
- **Mailing address:** PO BOX 592, TRAVERSE CITY, MI 49685-0592
- **Mailing address phone:** (231) 922-4930
- **Mailing address fax:** (231) 922-4872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 281013 | MI | Yes |

## Other

- **Enumeration date:** 11/08/2011
- **Last updated:** 11/08/2011