# HERMANSVILLE RESCUE SQUAD AND AMBULANCE SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hermansville Rescue Squad and Ambulance Serv. Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427060474
- **Authorized official:** ROBERT P MANSON (BILLING AGENT)
- **Authorized official phone:** (906) 786-2051

## Contact information

- **Practice address:** W5468 FIRST STREET, HERMANSVILLE, MI 49847
- **Practice address phone:** (906) 498-2336
- **Mailing address:** 828 SHERIDAN RD, P.O. BOX 415, ESCANABA, MI 49829-1531
- **Mailing address phone:** (906) 786-2051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 551002 | MI | Yes |

## Other

- **Enumeration date:** 08/11/2006
- **Last updated:** 08/29/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1875538 | — | MI |