# CHARTER TOWNSHIP OF INDEPENDENCE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Independence Fire Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871530246
- **Authorized official:** MR. DAVID PICHE (FIRE CHIEF)
- **Authorized official phone:** (248) 625-1924

## Contact information

- **Practice address:** 6500 CITATION DR, CLARKSTON, MI 48346-2986
- **Practice address phone:** (248) 625-1924
- **Practice address fax:** (248) 625-1776
- **Mailing address:** 6500 CITATION DR, CLARKSTON, MI 48346-2986
- **Mailing address phone:** (248) 625-1924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 341600000X | MI | — |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 12/13/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 184237180 | — | MI |
| 01 | — | 590015476 | RAILROAD MEDICARE | MI |
| 01 | — | 590F322300 | BLUE CROSS | MI |