# FIFE LAKE AREA AMBULANCE AUTHORITY

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

## Provider details

- **NPI number:** 1326267006
- **Authorized official:** MS. JUDITH G. HOUTS (TREASURER)
- **Authorized official phone:** (231) 357-5442

## Contact information

- **Practice address:** 134 MORGAN ST, FIFE LAKE, MI 49633
- **Practice address phone:** (231) 879-4009
- **Practice address fax:** (231) 897-3146
- **Mailing address:** P.O. BOX 216, FIFE LAKE, MI 49633
- **Mailing address phone:** (231) 879-4009
- **Mailing address fax:** (231) 879-3146

## Taxonomy

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

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 07/21/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 184605474 | — | MI |
| 01 | — | 590D010060 | BCBS OF MICHIGAN | MI |
| 01 | — | P00208624 | RAILROAD MEDICARE | MI |