# VILLAGE OF BUCKLEY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BUCKELY RESCUE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104905181
- **Authorized official:** MR. DAVID DUFF DC (DIRECTOR)
- **Authorized official phone:** (231) 269-3702

## Contact information

- **Practice address:** 106 INDUSTRIAL DR, BUCKLEY, MI 49620-0113
- **Practice address phone:** (231) 269-3702
- **Mailing address:** 106 INDUSTRIAL DR, BUCKLEY, MI 49620-0113
- **Mailing address phone:** (231) 269-3702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 831005 | MI | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 06/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4856699 | — | MI |
| 01 | — | 590H310390 | BLUE CROS BLUE SHIELD | MI |