Provider Demographics
NPI:1467904565
Name:ELMWOOD CHARTER TOWNSHIP
Entity Type:Organization
Organization Name:ELMWOOD CHARTER TOWNSHIP
Other - Org Name:ELMWOOD TWP FIRE RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:TAMPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-946-0921
Mailing Address - Street 1:10090 E LINCOLN RD
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-8487
Mailing Address - Country:US
Mailing Address - Phone:231-946-0921
Mailing Address - Fax:231-946-9320
Practice Address - Street 1:10090 E LINCOLN RD
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-8487
Practice Address - Country:US
Practice Address - Phone:231-946-0921
Practice Address - Fax:231-946-9320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-25
Last Update Date:2017-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4510073416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport