Organization
ADDISON TOWNSHIP
Active
Other names
Addison Twp Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY R MORAWSKI (FIRE CHIEF)
(248) 628-5600
Entity
Organization
Contact information
Practice address
4026 FOREST ST, LEONARD, MI 48367-1909
(248) 628-5600
(248) 628-5770
Mailing address
4026 FOREST ST, LEONARD, MI 48367-1909
(248) 628-5600
(248) 628-5770
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
631068
MI
3416L0300X
Land Ambulance
Primary
631068
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18303722
—
MI
01
—
590F300070
BCBSM
MI
05
—
TYPE 18 3203722
—
MI
Enumeration date
06/20/2006
Last updated
06/19/2012
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