# OTSEGO COUNTY AMBULANCE CORPS, INC.

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

## Provider details

- **NPI number:** 1205832656
- **Authorized official:** MR. JON DEMING (CHIEF)
- **Authorized official phone:** (989) 732-9085

## Contact information

- **Practice address:** 100 MCLOUTH RD, GAYLORD, MI 49735-9339
- **Practice address phone:** (989) 732-9085
- **Practice address fax:** (989) 732-9497
- **Mailing address:** PO BOX 642, 100 MCLOUTH, GAYLORD, MI 49734-0642
- **Mailing address phone:** (989) 732-9085
- **Mailing address fax:** (989) 732-9497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 691001 | MI | Yes |

## Other

- **Enumeration date:** 06/21/2005
- **Last updated:** 11/07/2016
