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Organization
CLINTON AREA AMBULANCE SERVICE AUTHORITY
Active
Organization
CLINTON AREA AMBULANCE SERVICE AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN CHARLES WEBER EMTP IC (DIRECTOR)
(989) 227-5713
Entity
Organization
Contact information
Practice address
1001 S OAKLAND ST, SAINT JOHNS, MI 48879-2305
(517) 227-5713
Mailing address
PO BOX 203, SAINT JOHNS, MI 48879-0203
(892) 275-7139
(989) 224-7870
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
191001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200000000500
PHPMM
—
05
—
4737624
—
MI
01
—
590A910200
BCBSM
MI
01
—
P00218396
RAILROAD MEDICARE
—
Enumeration date
06/30/2006
Last updated
12/06/2021
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