# EMERGENCY MED STAT LLC

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

## Provider details

- **NPI number:** 1407847346
- **Authorized official:** JUSTIN BURSE (OPERATIONS MGR)
- **Authorized official phone:** (810) 230-1208

## Contact information

- **Practice address:** G3538 FLUSHING RD, SUITE C, FLINT, MI 48504-4255
- **Practice address phone:** (810) 230-1208
- **Practice address fax:** (810) 230-1213
- **Mailing address:** PO BOX 497, DAVISON, MI 48423-0497
- **Mailing address phone:** (810) 230-1208
- **Mailing address fax:** (810) 230-1213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 251041 | MI | Yes |

## Other

- **Enumeration date:** 10/31/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4726255 | — | MI |