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Organization
SOUTH HAVEN AREA EMERGENCY SERVICES AUTHORITY
Active
Organization
SOUTH HAVEN AREA EMERGENCY SERVICES AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON HINZ (EXECUTIVE DIRECTOR/FIRE CHIEF)
(269) 639-1496
Entity
Organization
Contact information
Practice address
90 BLUE STAR HWY, SOUTH HAVEN, MI 49090-2411
(269) 637-5151
(269) 637-9346
Mailing address
90 BLUE STAR HWY, SOUTH HAVEN, MI 49090-2411
(269) 637-5151
(269) 637-9346
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
801006
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184434063
—
MI
01
—
590012741
RAIL ROAD MEDICARE
MI
Enumeration date
06/07/2006
Last updated
10/26/2024
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