# ELK RAPIDS TOWNSHIP

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

## Provider details

- **NPI number:** 1902985997
- **Authorized official:** MRS. CAROLYN BOALS (TOWNSHIP CLERK)
- **Authorized official phone:** (231) 264-9333

## Contact information

- **Practice address:** 209 BRIDGE ST, ELK RAPIDS, MI 49629
- **Practice address phone:** (231) 264-9333
- **Mailing address:** PO BOX 365, ELK RAPIDS, MI 49629-0365
- **Mailing address phone:** (231) 264-9333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 051005 | MI | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 01/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3278474 | — | MI |
| 01 | — | 590D50005 | BLUE CROSS BLUE SHIELD | MI |