# CITY OF GIBRALTAR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gibraltar PSD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750327227
- **Authorized official:** MR. WILLIAM CAIN (FIRE CHIEF)
- **Authorized official phone:** (734) 341-3543

## Contact information

- **Practice address:** 29450 MUNRO ST, GIBRALTAR, MI 48173-9720
- **Practice address phone:** (734) 676-5229
- **Practice address fax:** (734) 676-5124
- **Mailing address:** 29450 MUNRO ST, GIBRALTAR, MI 48173-9720
- **Mailing address phone:** (734) 676-1022
- **Mailing address fax:** (734) 676-5124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 821008 | MI | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 03/20/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 183028140 | — | MI |
| 01 | — | 590H201150 | BCBSM | MI |