Provider Demographics
NPI:1376533851
Name:TOWNSHIP OF BROWNSTOWN
Entity type:Organization
Organization Name:TOWNSHIP OF BROWNSTOWN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:DROUILLARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-955-2600
Mailing Address - Street 1:PO BOX 630
Mailing Address - Street 2:
Mailing Address - City:WYANDOTTE
Mailing Address - State:MI
Mailing Address - Zip Code:48192-0630
Mailing Address - Country:US
Mailing Address - Phone:877-477-4946
Mailing Address - Fax:734-246-2990
Practice Address - Street 1:21313 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN TWP
Practice Address - State:MI
Practice Address - Zip Code:48183-1314
Practice Address - Country:US
Practice Address - Phone:734-955-2600
Practice Address - Fax:734-955-2610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-25
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0838753416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI590H20026OtherBCBS
MI2613978Medicaid
MI0H20026Medicare PIN