Provider Demographics
NPI:1912916800
Name:TOWNSHIP OF VERMONTVILLE
Entity type:Organization
Organization Name:TOWNSHIP OF VERMONTVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TOWNSHIP CLERK
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-726-0355
Mailing Address - Street 1:PO BOX 215
Mailing Address - Street 2:
Mailing Address - City:VERMONTVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49096-0215
Mailing Address - Country:US
Mailing Address - Phone:517-726-1269
Mailing Address - Fax:
Practice Address - Street 1:125 W FIRST ST
Practice Address - Street 2:
Practice Address - City:VERMONTVILLE
Practice Address - State:MI
Practice Address - Zip Code:49096-9457
Practice Address - Country:US
Practice Address - Phone:517-726-1269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2310073416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4587017Medicaid
MI590B300080OtherBLUE CROSS BLUE SHIELD
MIP00019186OtherRAILROAD MEDICARE
MI4587017Medicaid