# PATRIOT AMBULANCE SERVICE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Patriot Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215020441
- **Authorized official:** MR. JEFF YORKE (PRESIDENT)
- **Authorized official phone:** (810) 742-5391

## Contact information

- **Practice address:** 4225 MILLER ROAD, \#233, FLINT, MI 48507
- **Practice address phone:** (810) 742-5391
- **Practice address fax:** (810) 742-5366
- **Mailing address:** 4225 MILLER ROAD, \#233, FLINT, MI 48507
- **Mailing address phone:** (810) 742-5391
- **Mailing address fax:** (810) 742-5366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 251040 | MI | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 03/21/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0997666 | HEALTH PLUS OF MI | MI |
| 05 | — | 4600594 | — | MI |
| 01 | — | 590B512330 | BLUE CROSS BLUE SHIELD | MI |