Provider Demographics
NPI:1194059329
Name:BURTCHVILLE TOWNSHIP FIRE DEPARTMENT
Entity type:Organization
Organization Name:BURTCHVILLE TOWNSHIP FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:M
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-385-4443
Mailing Address - Street 1:4000 BURTCH RD
Mailing Address - Street 2:
Mailing Address - City:BURTCHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48059-1800
Mailing Address - Country:US
Mailing Address - Phone:810-385-4443
Mailing Address - Fax:810-385-1221
Practice Address - Street 1:4000 BURTCH RD
Practice Address - Street 2:
Practice Address - City:BURTCHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48059-1800
Practice Address - Country:US
Practice Address - Phone:810-385-4443
Practice Address - Fax:810-385-1221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI741016146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Multi-Specialty