Organization
VILLAGE OF THOMPSONVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SMITH (DIRECTOR OF OPERATIONS)
(231) 378-2641
Entity
Organization
Contact information
Practice address
14714 LINCOLN AVE, THOMPSONVILLE, MI 49683-9109
(231) 378-2641
(231) 378-2641
Mailing address
PO BOX 184, THOMPSONVILLE, MI 49683-0184
(231) 378-2641
(231) 378-2641
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
101002
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3004317
—
MI
01
—
590A000040
BCBS
MI
Enumeration date
11/09/2005
Last updated
04/13/2012
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