Provider Demographics
NPI:1164644704
Name:PICKFORD TOWNSHIP
Entity Type:Organization
Organization Name:PICKFORD TOWNSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TOWNSHIP CLERK
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:906-647-3361
Mailing Address - Street 1:PO BOX 456
Mailing Address - Street 2:
Mailing Address - City:PICKFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49774-0456
Mailing Address - Country:US
Mailing Address - Phone:906-647-3361
Mailing Address - Fax:906-647-8820
Practice Address - Street 1:155 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:PICKFORD
Practice Address - State:MI
Practice Address - Zip Code:49774
Practice Address - Country:US
Practice Address - Phone:906-647-3361
Practice Address - Fax:906-647-8820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIPI171006341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0A70016Medicare PIN