Organization
TOWNSHIP OF COVERT
Active
Other names
Covert Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA D FOGARTY (OFFICE MANAGER)
(269) 764-5138
Entity
Organization
Contact information
Practice address
33805 M-140 HWY, COVERT, MI 49043
(269) 764-1768
(269) 764-1771
Mailing address
PO BOX 35, COVERT, MI 49043-0035
(269) 764-8986
(269) 764-1771
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
801002
MI
3416L0300X
Land Ambulance
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183001093
—
MI
01
—
590H000070
BCBS OF MI
MI
01
—
590H00070
BCBSM
MI
Enumeration date
11/03/2005
Last updated
01/30/2023
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