# VILLAGE OF DETOUR

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** DeTour Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467643320
- **Authorized official:** MRS. LINDA MARIE FISHER (CLERK)
- **Authorized official phone:** (906) 297-5471

## Contact information

- **Practice address:** 206 S ONTARIO STREET, DETOUR, MI 49725
- **Practice address phone:** (906) 297-5471
- **Practice address fax:** (906) 297-2107
- **Mailing address:** 260 S SUPERIOR STREET, PO BOX 397, DETOUR, MI 49725
- **Mailing address phone:** (906) 297-5471
- **Mailing address fax:** (906) 297-2107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 17 1002 | MI | Yes |

## Other

- **Enumeration date:** 08/06/2007
- **Last updated:** 08/06/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3001709 | — | MI |
| 01 | — | OA70003 | BLUE CROSS OF MICHIGAN | MI |