# LANSING MERCY AMBULANCE SERVICE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053352856
- **Authorized official:** DENNIS G PALMER (C.F.O.)
- **Authorized official phone:** (517) 482-1983

## Contact information

- **Practice address:** 1422 E MICHIGAN AVE, LANSING, MI 48912-2107
- **Practice address phone:** (517) 482-1983
- **Mailing address:** 1422 E MICHIGAN AVE, LANSING, MI 48912-2107
- **Mailing address phone:** (517) 482-1983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 331004 | MI | Yes |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 12/21/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0004501510 | AETNA | — |
| 05 | — | 3001843 | — | MI |
| 01 | — | 590C30019 | BCBS, BCBS FED, BCN | MI |