Organization
GRAND LEDGE AREA EMERGENCY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT HINDS (EMS DIRECTOR)
(517) 627-1157
Entity
Organization
Contact information
Practice address
500 N CLINTON ST, GRAND LEDGE, MI 48837-1620
(517) 627-1157
(517) 627-0417
Mailing address
2869 JOLLY RD, SUITE B, OKEMOS, MI 48864-3670
(517) 908-3980
(517) 908-3981
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
231021
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184720743
—
MI
01
—
200000003600
PHP
MI
01
—
590B310590
BLUE CROSS BLUE SHIELD
MI
01
—
P00218393
RAILROAD MEDICARE
—
Enumeration date
06/18/2006
Last updated
02/14/2013
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