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Organization
OVID MIDDLEBURY EMERGENCY SERVICE AUTHORITY
Active
Organization
OVID MIDDLEBURY EMERGENCY SERVICE AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN PEASE (FIRE CHIEF)
(989) 834-5707
Entity
Organization
Contact information
Practice address
144 E 1ST ST, OVID, MI 48866-9742
(989) 834-5550
Mailing address
PO BOX 2122, RIVERVIEW, MI 48193-1122
(734) 479-6300
(734) 479-6319
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
191003
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200000007800
PHPMM
MI
05
—
2703430
—
MI
01
—
590006460
RAILROAD MEDICARE
—
01
—
590A90009
BLUE CROSS BLUE SHIELD
MI
01
—
81-09011
PHP
MI
Enumeration date
07/02/2006
Last updated
08/29/2012
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