Provider Demographics
NPI:1588318760
Name:CITY OF MARQUETTE
Entity type:Organization
Organization Name:CITY OF MARQUETTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIREFIGHTER/PARAMEDIC
Authorized Official - Prefix:
Authorized Official - First Name:CHASE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:906-225-8936
Mailing Address - Street 1:418 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-4739
Mailing Address - Country:US
Mailing Address - Phone:096-225-8936
Mailing Address - Fax:
Practice Address - Street 1:418 S 3RD ST
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-4739
Practice Address - Country:US
Practice Address - Phone:906-225-8936
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Single Specialty
No341600000XTransportation ServicesAmbulanceGroup - Single Specialty