# MARCELLUS AREA EMERGENCY SERVICES ASSOCIATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1851343297
- **Authorized official:** MR. ROBERT OLSEN (AMBULANCE DIRECTOR)
- **Authorized official phone:** (269) 646-9900

## Contact information

- **Practice address:** 177 E MAIN ST, MARCELLUS, MI 49067-5102
- **Practice address phone:** (269) 646-9900
- **Practice address fax:** (269) 646-8052
- **Mailing address:** 177 E MAIN ST, MARCELLUS, MI 49067-5102
- **Mailing address phone:** (269) 646-9900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 141004 | MI | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 10/23/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3116476 | — | MI |
| 01 | — | 590009181 | RR MEDICARE | MI |