# TOWNSHIP BOARD OF SOUTH BRANCH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Branch Township Fire & EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881775351
- **Authorized official:** MS. LAURIE LUCK (SUPERVISOR/SOUTH BRANCH TOWNSHIP)
- **Authorized official phone:** (989) 275-8232

## Contact information

- **Practice address:** 5245 N M-18, ROSCOMMON, MI 48653
- **Practice address phone:** (989) 275-8232
- **Practice address fax:** (989) 275-5711
- **Mailing address:** PO BOX 2122, RIVERVIEW, MI 48193-1122
- **Mailing address phone:** (734) 479-6300
- **Mailing address fax:** (734) 479-6319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 201004 | MI | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 10/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2906432 | — | MI |