Organization Name: | CITY OF WALLED LAKE |
NPI Number: | 1730326125 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEN VAN SPARRENTAK (FIRE CHIEF) |
Mailing Address: | 1499 E West Maple Rd Walled Lake |
State: | MI US |
Postal Code: | 483903732 |
Phone Number: | 2486242088 |
Fax Number: | 2489269630 |
NPI Enumeration Date: | 01/07/2009 |
NPI Last Update Date: | 01/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 631066 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |