Provider Demographics
NPI:1710793294
Name:GRANITE PUBLIC SAFETY CORPORATION
Entity type:Organization
Organization Name:GRANITE PUBLIC SAFETY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF RISK MANAGEMENT AND COO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:EGING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-262-7877
Mailing Address - Street 1:35252 CRYSTAL CREEK CT
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:OH
Mailing Address - Zip Code:44044-8807
Mailing Address - Country:US
Mailing Address - Phone:833-262-7877
Mailing Address - Fax:833-226-2235
Practice Address - Street 1:234 E. BROADWAY STREET
Practice Address - Street 2:194
Practice Address - City:PHILIPSBURG
Practice Address - State:MT
Practice Address - Zip Code:59858-0181
Practice Address - Country:US
Practice Address - Phone:833-262-7877
Practice Address - Fax:833-226-2235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance