Organization
CHARTER TOWNSHIP OF INDEPENDENCE
Active
Other names
Independence Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID PICHE (FIRE CHIEF)
(248) 625-1924
Entity
Organization
Contact information
Practice address
6500 CITATION DR, CLARKSTON, MI 48346-2986
(248) 625-1924
(248) 625-1776
Mailing address
6500 CITATION DR, CLARKSTON, MI 48346-2986
(248) 625-1924
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
341600000X
MI
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184237180
—
MI
01
—
590015476
RAILROAD MEDICARE
MI
01
—
590F322300
BLUE CROSS
MI
Enumeration date
06/02/2006
Last updated
12/13/2022
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