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Organization
ROCKFORD AMBULANCE INC
Active
Organization
ROCKFORD AMBULANCE INC
Active
Parent organization
ROCKFORD AMBULANCE INC
Other names
Lowell Ambulance, Sparta Ambulance, Grand Rapids Twp. Ambulance
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROCKFORD AMBULANCE INC
Authorized official
MRS. RISSIE HAACK (OFFICE MANGER)
(616) 866-0724
Entity
Organization
Contact information
Practice address
8450 SHANER AVE NE, ROCKFORD, MI 49341-9379
(616) 866-0724
(616) 866-3903
Mailing address
8450 SHANER AVE. NE, ROCKFORD, MI 49341
(616) 866-0724
(616) 866-3903
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
411004
MI
3416L0300X
Land Ambulance
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3001478
—
MI
01
—
590058353
RAILROAD MEDICARE
MI
01
—
590D10018
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/18/2006
Last updated
12/02/2014
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