# TOWNSHIP OF PENINSULA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PENINSULA TOWNSHIP EMERGENCY SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932490794
- **Authorized official:** MR. ROBERT MANIGOLD (SUPERVISOR)
- **Authorized official phone:** (231) 223-7322

## Contact information

- **Practice address:** 13235 CENTER RD, TRAVERSE CITY, MI 49686-8560
- **Practice address phone:** (231) 223-7322
- **Mailing address:** 13235 CENTER RD, TRAVERSE CITY, MI 49686-8560
- **Mailing address phone:** (231) 223-7322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 281007 | MI | Yes |

## Other

- **Enumeration date:** 04/28/2011
- **Last updated:** 02/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 590B801840 | BLUE CROSS BLUE SHIELD OF MICHIGAN | MI |