# MARSHALL AREA FIREFIGHTERS AMBULANCE AUTHORITY

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

## Provider details

- **NPI number:** 1427055938
- **Authorized official:** MR. NICK JACOB SMITH (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (269) 781-9819

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 131005 | MI | Yes |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 03/18/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4651726 | — | MI |
| 01 | — | OA31110 | BLUE CROSS BLUE SHIELD MI | MI |
| 01 | — | P45549 | BLUE CARE NETWORK | MI |