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Organization
DVA AMBULANCE, INC.
Active
Organization
DVA AMBULANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA CHRISTENSON (FINANCE MANAGER)
(989) 288-3177
Entity
Organization
Contact information
Practice address
308 N SAGINAW ST, DURAND, MI 48429-1237
(989) 288-3177
(989) 288-6770
Mailing address
308 N. SAGINAW STREET, DURAND, MI 48429-1237
(989) 288-3177
(989) 288-6770
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
781002
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000200
HEALTH PLUS OF MICHIGAN
MI
01
—
1000137
MCLAREN HEALTH PLAN
MI
01
—
1221240001
CHS THE WELLNESS PLAN
MI
01
—
1830000499
WASHTENAW HEALTH PLAN
MI
01
—
3000499
COMMUNITY CHOICE
MI
05
—
3000499
—
MI
01
—
4528105
MID MICHIGAN HEALTH PLAN
MI
01
—
590G80007
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
05/11/2006
Last updated
08/22/2020
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