# SOLON AND CENTERVILLE TWP FIRE DEPT

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

## Provider details

- **NPI number:** 1417035411
- **Authorized official:** DAN PETROSKEY EMT (FIRE CHIEF)
- **Authorized official phone:** (231) 735-5335

## Contact information

- **Practice address:** 8907 RAILROAD STREET, CEDAR, MI 49621-0208
- **Practice address phone:** (231) 228-5396
- **Practice address fax:** (231) 228-5395
- **Mailing address:** PO BOX 208, CEDAR, MI 49621-0208
- **Mailing address phone:** (231) 228-5396
- **Mailing address fax:** (231) 228-5395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 451001 | MI | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 10/25/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3040215 | — | MI |
| 01 | — | 590D50005 | BLUE CROSS BLUE SHIELD | MI |