Organization
NEWBERG TOWNSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN FORRESTER (DIRECTOR)
(269) 244-5283
Entity
Organization
Contact information
Practice address
11900 MCKINLEY ST, JONES, MI 49061-0257
(269) 244-8504
(269) 244-5766
Mailing address
PO BOX 37, JONES, MI 49061-0037
(269) 244-5283
(269) 244-5283
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
141005
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2837531
—
MI
Enumeration date
06/26/2006
Last updated
06/07/2012
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