# SHELBY EMERGENCY SERVICES, LLC

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

## Provider details

- **NPI number:** 1508824277
- **Authorized official:** EUGENE DAUCHERT (CEO/PRESIDENT)
- **Authorized official phone:** (919) 768-4392

## Contact information

- **Practice address:** 72 S STATE ST, SHELBY, MI 49455-1228
- **Practice address phone:** (231) 861-2156
- **Mailing address:** PO BOX 827424, PHILADELPHIA, PA 19182-7424
- **Mailing address phone:** (904) 805-1300
- **Mailing address fax:** (904) 805-1302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 09/11/2025