Provider Demographics
NPI:1508084468
Name:DRUMMOND ISLAND TOWNSHIP
Entity Type:Organization
Organization Name:DRUMMOND ISLAND TOWNSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TOWNSHIP CLERK
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:COULTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:906-493-5321
Mailing Address - Street 1:PO BOX 225
Mailing Address - Street 2:29935 E. PINE ST.
Mailing Address - City:DRUMMOND ISLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49726-0225
Mailing Address - Country:US
Mailing Address - Phone:906-493-5321
Mailing Address - Fax:906-493-5404
Practice Address - Street 1:29935 E. PINE ST
Practice Address - Street 2:
Practice Address - City:DRUMMOND ISLAND
Practice Address - State:MI
Practice Address - Zip Code:49726-0225
Practice Address - Country:US
Practice Address - Phone:906-493-5321
Practice Address - Fax:906-493-5404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI171003341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0A70012Medicare PIN