# EAST GRAND LAKE VOLUNTEER FIRE DEPARTMENT INC

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

## Provider details

- **NPI number:** 1295020139
- **Authorized official:** MICHELE MOORE (BILLING MANAGER)
- **Authorized official phone:** (517) 318-3732

## Contact information

- **Practice address:** 8959 E GRAND LAKE RD, PRESQUE ISLE, MI 49777-8633
- **Practice address phone:** (989) 595-2412
- **Mailing address:** PO BOX 9, PRESQUE ISLE, MI 49777-0009
- **Mailing address phone:** (989) 595-2412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 711001 | MI | Yes |
| 341600000X | Ambulance | — | NULL | — |

## Other

- **Enumeration date:** 06/17/2011
- **Last updated:** 12/03/2024