# BAY AMBULANCE, INC

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

## Provider details

- **NPI number:** 1992703656
- **Authorized official:** MR. GARY WADAGA EMTP (DIRECTOR)
- **Authorized official phone:** (906) 353-6196

## Contact information

- **Practice address:** 116 MICHIGAN AVE, BARAGA, MI 49908-9676
- **Practice address phone:** (906) 353-6196
- **Practice address fax:** (906) 353-8176
- **Mailing address:** PO BOX 1, BARAGA, MI 49908-0001
- **Mailing address phone:** (906) 353-6196
- **Mailing address fax:** (906) 353-8176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 071001 | MI | Yes |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 06/05/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3001825 | — | MI |