Provider Demographics
NPI:1497270391
Name:MARQUETTE TOWNSHIP BOARD
Entity Type:Organization
Organization Name:MARQUETTE TOWNSHIP BOARD
Other - Org Name:MARQUETTE TOWNSHIP FIRE RESCUE
Other - Org Type:Other Name
Authorized Official - Title/Position:ASST CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:906-228-4296
Mailing Address - Street 1:1000 COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-8694
Mailing Address - Country:US
Mailing Address - Phone:906-228-4296
Mailing Address - Fax:906-228-4297
Practice Address - Street 1:2801 VENTURE DR
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-8633
Practice Address - Country:US
Practice Address - Phone:906-228-4296
Practice Address - Fax:906-228-4297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-11
Last Update Date:2017-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance