# NORTHERN BAY AMBULANCE AND RESCUE SERVICE OF MICHIGAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northern Bay Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720137201
- **Authorized official:** PAUL LEE BOSS (ACTING DIRECTOR)
- **Authorized official phone:** (810) 853-3682

## Contact information

- **Practice address:** 325 S. LIBBY ST, PINCONNING, MI 48650-8400
- **Practice address phone:** (810) 853-3682
- **Practice address fax:** (989) 879-2220
- **Mailing address:** PO BOX 2122, RIVERVIEW, MI 48193-1122
- **Mailing address phone:** (734) 224-4474
- **Mailing address fax:** (734) 479-6319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 091002 | MI | — |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 02/13/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0Z90008 | BCBSM | MI |
| 05 | — | 3002949 | — | MI |