Organization
BINGHAM TOWNSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH JOHN TREPKOSKI (TOWNSHIP CLERK)
(989) 658-8651
Entity
Organization
Contact information
Practice address
2241 PIERCE STREET, UBLY, MI 48475
(989) 658-8651
Mailing address
2241 PIERCE STREET, UBLY, MI 48475
(989) 658-8651
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
321001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183004738
—
MI
01
—
59-0-C2-0017
BLUE CROSS/BLUE SHIELD OF MICHIGAN
MI
Enumeration date
11/28/2006
Last updated
08/08/2012
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