# LAPEER COUNTY EMS AUTHORITY

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

## Provider details

- **NPI number:** 1881686764
- **Authorized official:** MR. GALLAND BURNHAM (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (810) 664-2927

## Contact information

- **Practice address:** 3565 GENESEE RD, ST 1, LAPEER, MI 48446-2984
- **Practice address phone:** (810) 664-2927
- **Practice address fax:** (810) 664-3749
- **Mailing address:** 3565 GENESEE RD, SUITE \# 1, LAPEER, MI 48446-2984
- **Mailing address phone:** (810) 664-2927
- **Mailing address fax:** (810) 664-3749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 441002 | MI | Yes |
| 3416L0300X | Land Ambulance | 441002 | MI | — |

## Other

- **Enumeration date:** 08/17/2005
- **Last updated:** 04/20/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 184338370 | — | MI |
| 01 | — | 590D400030 | BLUE CROSS BLUE SHIELD | MI |