Organization
TOWNSHIP OF DELHI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN BALL (FIRE CHIEF)
(517) 694-3327
Entity
Organization
Contact information
Practice address
2074 AURELIUS RD, HOLT, MI 48842-1332
(517) 694-3327
(517) 699-3879
Mailing address
2074 AURELIUS RD, HOLT, MI 48842-1332
(517) 694-3327
(517) 699-3879
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
331001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C30024
BLUE CARE NETWORK
MI
05
—
183002582
—
MI
01
—
200000000496
PHP MEDICAID
MI
01
—
81-09176
PHYSICIANS HEALTH PLAN
MI
01
—
OC30024
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/27/2006
Last updated
05/09/2025
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