# ROCK COMMUNITY AMBULANCE SERVICE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811247729
- **Authorized official:** CHERYL PATRICK (DIRECTOR)
- **Authorized official phone:** (906) 356-6905

## Contact information

- **Practice address:** 14376 M-35, ROCK, MI 49880
- **Practice address phone:** (906) 231-9020
- **Mailing address:** PO BOX 44, ROCK, MI 49880-0044
- **Mailing address phone:** (906) 231-9020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 211008 | MI | Yes |

## Other

- **Enumeration date:** 09/18/2012
- **Last updated:** 11/04/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2973730 | — | MI |