Organization
TOWNSHIP OF DENTON ROSCOMMON COUNTY
Active
Other names
DENTON TOWNSHIP AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DUPON (EMS CHIEF)
(989) 366-8083
Entity
Organization
Contact information
Practice address
1301 W WEST BRANCH RD, PRUDENVILLE, MI 48651-9465
(989) 366-8083
(989) 366-6954
Mailing address
PO BOX 2122, RIVERVIEW, MI 48193-1122
(734) 224-4474
(734) 479-6319
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
721009
MI
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182595065
—
MI
01
—
590008104
RR MEDICARE
MI
Enumeration date
12/12/2006
Last updated
04/06/2024
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