# SUTTONS BAY BINGHAM FIRE RESCUE

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

## Provider details

- **NPI number:** 1114120441
- **Authorized official:** MR. JAMES PORTER FF EMT-P (ADMINISTRATOR)
- **Authorized official phone:** (231) 271-6978

## Contact information

- **Practice address:** 201 S. ST. MARY'S AVE, SUTTONS BAY, MI 49682-0280
- **Practice address phone:** (231) 271-6978
- **Practice address fax:** (231) 271-5742
- **Mailing address:** P.O. 2122, RIVERVIEW, MI 48193-2122
- **Mailing address phone:** (800) 926-6985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 451005 | MI | Yes |

## Other

- **Enumeration date:** 06/06/2007
- **Last updated:** 02/04/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 182741950 | — | MI |
| 01 | — | 590D500090 | BLUE CROSS PROVIDER NUMBE | MI |