# JORDAN VALLEY EMERGENCY MEDICAL SERVICE AUTHORITY

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

## Provider details

- **NPI number:** 1215327648
- **Authorized official:** GERALD J PECK (EMS DIRECTOR)
- **Authorized official phone:** (231) 536-7881

## Contact information

- **Practice address:** 555 MAPLE ST, EAST JORDAN, MI 49727-9778
- **Practice address phone:** (231) 536-7881
- **Practice address fax:** (231) 308-6440
- **Mailing address:** PO BOX 920, EAST JORDAN, MI 49727-0920
- **Mailing address phone:** (231) 536-7881
- **Mailing address fax:** (231) 308-6440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | — |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 01/23/2015
- **Last updated:** 10/22/2018
