Provider Demographics
NPI:1659334860
Name:MERIDIAN CHARTER TOWNSHIP
Entity Type:Organization
Organization Name:MERIDIAN CHARTER TOWNSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:COWPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-853-4700
Mailing Address - Street 1:5151 MARSH RD
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-1104
Mailing Address - Country:US
Mailing Address - Phone:517-853-4700
Mailing Address - Fax:517-853-4097
Practice Address - Street 1:5151 MARSH RD
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-1104
Practice Address - Country:US
Practice Address - Phone:517-853-4700
Practice Address - Fax:517-853-4097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-10
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI331007146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Single Specialty