# BYRON AREA AMBULANCE SERVICE,INC

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

## Provider details

- **NPI number:** 1689619058
- **Authorized official:** MR. GLEN LACEY (PRESIDENT)
- **Authorized official phone:** (810) 266-5220

## Contact information

- **Practice address:** 210 S SAGINAW ST, BYRON, MI 48418-9570
- **Practice address phone:** (810) 266-5220
- **Practice address fax:** (810) 266-5221
- **Mailing address:** 210 S SAGINAW ST, BYRON, MI 48418-9570
- **Mailing address phone:** (810) 266-5220
- **Mailing address fax:** (810) 266-5221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 781001 | MI | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3003768 | — | MI |