Provider Demographics
NPI:1134286933
Name:ALGER COUNTY CLERK
Entity type:Organization
Organization Name:ALGER COUNTY CLERK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SHERIFF
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:BROCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:906-387-7028
Mailing Address - Street 1:101 E VARNUM ST
Mailing Address - Street 2:
Mailing Address - City:MUNISING
Mailing Address - State:MI
Mailing Address - Zip Code:49862-1154
Mailing Address - Country:US
Mailing Address - Phone:906-387-7028
Mailing Address - Fax:906-387-1478
Practice Address - Street 1:101 E VARNUM ST
Practice Address - Street 2:SUITE B
Practice Address - City:MUNISING
Practice Address - State:MI
Practice Address - Zip Code:49862-1125
Practice Address - Country:US
Practice Address - Phone:906-387-4444
Practice Address - Fax:906-387-5278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI021001341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI183004881Medicaid
MI590Z200050OtherBCBSM
MI0Z20005Medicare ID - Type UnspecifiedMEDICARE