Organization
TORCH LAKE TOWNSHIP
Active
Other names
TORCH LAKE TOWNSHIP EMS
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON ANN SCHULTZ (TREASURER)
(231) 599-2036
Entity
Organization
Contact information
Practice address
2355 US 31 N, EASTPORT, MI 49627
(231) 599-2174
(231) 599-2174
Mailing address
PO BOX 713, 2355 US 31 N, EASTPORT, MI 49627-0713
(231) 599-2174
(231) 599-2174
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
MI
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183453289
—
MI
01
—
590Z5-00080
BCBS
MI
01
—
900016725
BCN
MI
Enumeration date
06/12/2007
Last updated
10/26/2024
Update your record
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