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Organization

MARSHALL AREA FIREFIGHTERS AMBULANCE AUTHORITY

Active
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Organization

MARSHALL AREA FIREFIGHTERS AMBULANCE AUTHORITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NICK JACOB SMITH (EXECUTIVE DIRECTOR)
(269) 781-9819
Entity
Organization

Contact information

Practice address
16984 BURLINGAME DR, MARSHALL, MI 49068-8422
(269) 781-9819
(269) 781-9323
Mailing address
16984 BURLINGAME DR, MARSHALL, MI 49068-8422
(269) 781-9819
(269) 781-9323

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
131005
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4651726
—
MI
01
—
OA31110
BLUE CROSS BLUE SHIELD MI
MI
01
—
P45549
BLUE CARE NETWORK
MI
Enumeration date
06/30/2005
Last updated
03/18/2021
About Stedi
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