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Organization
DELTA CHARTER TOWNSHIP
Active
Organization
DELTA CHARTER TOWNSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY NICHOLLS (FINANCE DIRECTOR)
(517) 816-8244
Entity
Organization
Contact information
Practice address
811 N CANAL RD, LANSING, MI 48917-7749
(517) 321-6622
Mailing address
811 N CANAL RD, LANSING, MI 48917-7749
(517) 485-0001
(517) 485-1138
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
231003
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200000000504
PHP
MI
05
—
2821569
—
MI
01
—
590007155
RAILROAD MEDICARE
—
01
—
590B310940
BCBSM
MI
Enumeration date
07/06/2006
Last updated
05/20/2026
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