Organization
TOWNSHIP OF POWELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BOURGEOIS (DIRECTOR)
(906) 362-7275
Entity
Organization
Contact information
Practice address
101 BENSINGER RD, BIG BAY, MI 49808
(906) 361-0598
Mailing address
PO BOX 415, ESCANABA, MI 49829-0415
(906) 786-2051
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
521004
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3005127
—
MI
Enumeration date
02/28/2007
Last updated
10/04/2023
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