Provider Demographics
NPI:1962682237
Name:TOWNSHIP OF SOMERSET
Entity Type:Organization
Organization Name:TOWNSHIP OF SOMERSET
Other - Org Name:TOWNSHIP OF SOMERSET
Other - Org Type:Other Name
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-668-4406
Mailing Address - Street 1:12715 EAST CHICAGO RD.
Mailing Address - Street 2:
Mailing Address - City:SOMERSET CENTER
Mailing Address - State:MI
Mailing Address - Zip Code:49282-0069
Mailing Address - Country:US
Mailing Address - Phone:517-688-4406
Mailing Address - Fax:517-688-9132
Practice Address - Street 1:12715 EAST CHICAGO RD.
Practice Address - Street 2:
Practice Address - City:SOMERSET CENTER
Practice Address - State:MI
Practice Address - Zip Code:49282-0069
Practice Address - Country:US
Practice Address - Phone:517-688-4406
Practice Address - Fax:517-688-9132
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWNSHIP OF SOMERSET
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-05
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI301009341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance