Provider Demographics
NPI:1720098395
Name:TOWNSHIP OF ALBERT
Entity Type:Organization
Organization Name:TOWNSHIP OF ALBERT
Other - Org Name:ALBERT TOWNSHIP AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:KASANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIFFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-786-3900
Mailing Address - Street 1:PO BOX 299
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:MI
Mailing Address - Zip Code:49756
Mailing Address - Country:US
Mailing Address - Phone:989-786-3900
Mailing Address - Fax:989-786-7602
Practice Address - Street 1:4196 SALLING AVE
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:MI
Practice Address - Zip Code:49756
Practice Address - Country:US
Practice Address - Phone:989-786-3900
Practice Address - Fax:989-786-7602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
0F00003Medicare ID - Type Unspecified