# NORTHWEST WEXFORD EMERGENCY AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NWEA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700588589
- **Authorized official:** MR. JUSTIN DUANE RUNYON PARAMEDIC (EMERGENCY SERVICES DIRECTOR)
- **Authorized official phone:** (231) 645-0455

## Contact information

- **Practice address:** 106 S INDUSTRIAL DR, BUCKLEY, MI 49620-9732
- **Practice address phone:** (231) 645-0455
- **Mailing address:** PO BOX 571, MESICK, MI 49668-0571
- **Mailing address phone:** (231) 645-0455
- **Mailing address fax:** (231) 779-9833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | — |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 03/17/2023
- **Last updated:** 03/19/2023