# ONTWA JEFFERSON MASON MILTON CALVIN TNSHPS & VILLAGE OF EDWARDSBURG

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

## Provider details

- **NPI number:** 1801831375
- **Authorized official:** DENNIS CLOSSON PARAMEDIC (ADMINISTRATOR)
- **Authorized official phone:** (269) 663-8022

## Contact information

- **Practice address:** 26273 E SHORE DR, EDWARDSBURG, MI 49112-8453
- **Practice address phone:** (269) 663-2347
- **Practice address fax:** (269) 663-0072
- **Mailing address:** PO BOX 384, EDWARDSBURG, MI 49112-0384
- **Mailing address phone:** (269) 663-8022
- **Mailing address fax:** (269) 663-0130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 141003 | MI | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 11/20/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3001530 | — | MI |