| Organization Name: | TOWN OF REPUBLIC |
| NPI Number: | 1255401410 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORI A BURTON (OFFICE MANAGER) |
| Mailing Address: | 9610 State Hwy M95 Republic |
| State: | MI US |
| Postal Code: | 49879 |
| Phone Number: | 9063768827 |
| Fax Number: | 9063762383 |
| NPI Enumeration Date: | 11/08/2006 |
| NPI Last Update Date: | 01/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |