# TOWNSHIP OF BLAIR

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

## Provider details

- **NPI number:** 1447339411
- **Authorized official:** MR. PATRICK PAHL (TOWNSHIP SUPERVISOR)
- **Authorized official phone:** (231) 276-9263

## Contact information

- **Practice address:** 2121 CO RD 633, GRAWN, MI 49637-9406
- **Practice address phone:** (231) 276-9263
- **Mailing address:** 2121 CO RD 633, GRAWN, MI 49637-9406
- **Mailing address phone:** (231) 276-9263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 281004 | MI | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 02/29/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3106667 | — | MI |
| 01 | — | 590B800060 | BLUE CROSS BLUE SHIELD | MI |