Provider Demographics
NPI:1912935651
Name:COUNTY OF IOSCO
Entity Type:Organization
Organization Name:COUNTY OF IOSCO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNTY CONTROLLER/FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRUTHERS-SOBOLESKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-984-1000
Mailing Address - Street 1:1808 E US 23
Mailing Address - Street 2:
Mailing Address - City:EAST TAWAS
Mailing Address - State:MI
Mailing Address - Zip Code:48730-9315
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1808 E US 23
Practice Address - Street 2:
Practice Address - City:EAST TAWAS
Practice Address - State:MI
Practice Address - Zip Code:48730-9315
Practice Address - Country:US
Practice Address - Phone:989-362-5534
Practice Address - Fax:989-362-5059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI35-1003341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI590001430OtherPALMETTO GBA