Provider Demographics
NPI:1619378031
Name:COUNTY OF EMMET
Entity Type:Organization
Organization Name:COUNTY OF EMMET
Other - Org Name:EMMET COUNTY EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:KRUPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-348-1701
Mailing Address - Street 1:200 DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-2486
Mailing Address - Country:US
Mailing Address - Phone:231-348-1701
Mailing Address - Fax:231-348-0633
Practice Address - Street 1:200 DIVISION ST
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-2486
Practice Address - Country:US
Practice Address - Phone:231-348-1701
Practice Address - Fax:231-348-0633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-05
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport