# COUNTY OF BENZIE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** BENZIE COUNTY EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255419214
- **Authorized official:** MR. CHUCK CLARKE (COUNTY SUPERVISOR)
- **Authorized official phone:** (231) 882-0553

## Contact information

- **Practice address:** 448 COURT PL, BEULAH, MI 49617-9518
- **Practice address phone:** (231) 882-0625
- **Practice address fax:** (231) 882-0033
- **Mailing address:** 448 COURT PLACE, BEULAH, MI 49617-9518
- **Mailing address phone:** (231) 882-0625
- **Mailing address fax:** (231) 882-0033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 101001 | MI | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 12/10/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3003187 | — | MI |
| 01 | — | 590058442 | RAILROAD MEDICARE | MI |
| 01 | — | 590A000030 | BLUE CROSS BLUE SHIELD | MI |