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Organization
COMMUNITY EMERGENCY SERVICE
Active
Organization
COMMUNITY EMERGENCY SERVICE
Active
Other names
MEDIC 1 AMBULANCE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK FISHER JR. (DIRECTOR)
(269) 925-2144
Entity
Organization
Contact information
Practice address
635 E NAPIER AVE, BENTON HARBOR, MI 49022-5813
(269) 925-2144
(269) 926-1139
Mailing address
PO BOX 1563, 635 E. NAPIER AVE., BENTON HARBOR, MI 49023-1563
(269) 925-2144
(269) 926-1139
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
111003
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3004228
—
MI
Enumeration date
04/18/2006
Last updated
08/22/2020
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