# TOWNSHIP OF PORTAGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Portage Township Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619029980
- **Authorized official:** PATRICIA MACLACHLAN (CLERK)
- **Authorized official phone:** (906) 586-9522

## Contact information

- **Practice address:** W17361 DAVIS STREET, CURTIS, MI 49820-0070
- **Practice address phone:** (906) 586-3574
- **Practice address fax:** (906) 586-3360
- **Mailing address:** PO BOX 70, CURTIS, MI 49820-0070
- **Mailing address phone:** (906) 586-9522
- **Mailing address fax:** (906) 586-3360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 491005 | MI | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 03/31/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 18-1804071 | — | MI |
| 01 | — | 590D90006 | BLUE CROSS BLUE SHIELD OF MI | MI |