Provider Demographics
NPI:1427176692
Name:FAIRFIELD TOWNSHIP
Entity type:Organization
Organization Name:FAIRFIELD TOWNSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CURT
Authorized Official - Middle Name:
Authorized Official - Last Name:EMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-436-3440
Mailing Address - Street 1:PO BOX 95
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:MI
Mailing Address - Zip Code:49289-0095
Mailing Address - Country:US
Mailing Address - Phone:517-436-3663
Mailing Address - Fax:
Practice Address - Street 1:9965 BROWN STREET
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:MI
Practice Address - Zip Code:49289
Practice Address - Country:US
Practice Address - Phone:517-436-3440
Practice Address - Fax:517-436-3440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI185220043Medicaid
MI590D611250OtherBCBSM
MI185220043Medicaid