Organization
CITY OF WOODHAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY ALAN MYLES (FIRE CHIEF)
(734) 675-4918
Entity
Organization
Contact information
Practice address
23040 HALL RD, WOODHAVEN, MI 48183-3206
(734) 675-4918
(734) 675-4947
Mailing address
PO BOX 2122, RIVERVIEW, MI 48193-1122
(734) 224-4474
(734) 479-6319
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
821030
MI
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28227034
—
MI
01
—
590006642
RR MEDICARE
—
Enumeration date
06/17/2006
Last updated
03/17/2024
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