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Organization
UNIVERSAL-MACOMB AMBULANCE SERVICE, INC.
Active
Organization
UNIVERSAL-MACOMB AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD KENT MCLOCKLIN (OWNER)
(586) 939-4350
Entity
Organization
Contact information
Practice address
37583 MOUND RD, STERLING HEIGHTS, MI 48310-4124
(586) 939-4350
(586) 939-4445
Mailing address
37583 MOUND RD, STERLING HEIGHTS, MI 48310-4124
(586) 939-4350
(586) 939-4445
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
501013
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E00022
HEALTH ALLIANCE PLAN
MI
01
—
0E000229
BLUE CROSS BLUE SHEILD
MI
Enumeration date
12/29/2006
Last updated
08/22/2020
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