# HERMANSVILLE RESCUE SQUAD & AMBULANCE SERVICE INC

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

## Provider details

- **NPI number:** 1356312268
- **Authorized official:** SHARLINE D CORRIGAN EMT-B, I/C (TREASURER)
- **Authorized official phone:** (906) 497-5310

## Contact information

- **Practice address:** W5468 FIRST ST, HERMANSVILLE, MI 49874-0187
- **Practice address phone:** (906) 498-2336
- **Mailing address:** W5468 FIRST ST, PO BOX 187, HERMANSVILLE, MI 49874-0187
- **Mailing address phone:** (906) 498-2336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 551002 | MI | Yes |

## Other

- **Enumeration date:** 01/30/2006
- **Last updated:** 10/12/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1875538 | — | MI |
| 01 | — | 590010284 | RR MEDICARE | MI |
| 01 | — | 590E50002 | BCBSM | MI |