# THREE OAKS EMERGENCY VEHICLE ASSOCIATION

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417054925
- **Authorized official:** THERESA M BECK (OPERATIONS MANAGER)
- **Authorized official phone:** (269) 756-9818

## Contact information

- **Practice address:** 21 S ELM ST, THREE OAKS, MI 49128-1121
- **Practice address phone:** (269) 756-9818
- **Practice address fax:** (269) 756-9098
- **Mailing address:** 2100 W CHICAGO RD, NILES, MI 49120-8701
- **Mailing address phone:** (269) 684-2170
- **Mailing address fax:** (269) 684-2152

## Taxonomy

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

## Other

- **Enumeration date:** 09/19/2006
- **Last updated:** 01/23/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 182710541 | — | MI |
| 01 | — | 590A100173 | BLUE CROSS BLUE SHIELD | — |