# OVID MIDDLEBURY EMERGENCY SERVICE AUTHORITY

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

## Provider details

- **NPI number:** 1467481259
- **Authorized official:** STEVEN PEASE (FIRE CHIEF)
- **Authorized official phone:** (989) 834-5707

## Contact information

- **Practice address:** 144 E 1ST ST, OVID, MI 48866-9742
- **Practice address phone:** (989) 834-5550
- **Mailing address:** PO BOX 2122, RIVERVIEW, MI 48193-1122
- **Mailing address phone:** (734) 479-6300
- **Mailing address fax:** (734) 479-6319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 191003 | MI | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 08/29/2012

## 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 |