# DVA AMBULANCE, INC.

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

## Provider details

- **NPI number:** 1225088222
- **Authorized official:** TINA CHRISTENSON (FINANCE MANAGER)
- **Authorized official phone:** (989) 288-3177

## Contact information

- **Practice address:** 308 N SAGINAW ST, DURAND, MI 48429-1237
- **Practice address phone:** (989) 288-3177
- **Practice address fax:** (989) 288-6770
- **Mailing address:** 308 N. SAGINAW STREET, DURAND, MI 48429-1237
- **Mailing address phone:** (989) 288-3177
- **Mailing address fax:** (989) 288-6770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 781002 | MI | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 08/22/2020

## 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 |