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Organization
LANSING MERCY AMBULANCE SERVICE, INC.
Active
Organization
LANSING MERCY AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS G PALMER (C.F.O.)
(517) 482-1983
Entity
Organization
Contact information
Practice address
1422 E MICHIGAN AVE, LANSING, MI 48912-2107
(517) 482-1983
Mailing address
1422 E MICHIGAN AVE, LANSING, MI 48912-2107
(517) 482-1983
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
331004
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004501510
AETNA
—
05
—
3001843
—
MI
01
—
590C30019
BCBS, BCBS FED, BCN
MI
Enumeration date
06/10/2006
Last updated
12/21/2009
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