Organization
TWIN TOWNSHIP AMBULANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE J HENIGE (BILLING SPECIALIST)
(810) 634-1001
Entity
Organization
Contact information
Practice address
7900 SAGINAW ST, NEW LOTHROP, MI 48460-9688
(810) 638-5034
Mailing address
7900 SAGINAW ST, P.O. BOX 303, NEW LOTHROP, MI 48460
(810) 634-1001
(810) 638-7424
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
781007
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3004513
—
MI
01
—
71020000G80017
BLUE CROSS BLUE SHIELD
MI
Enumeration date
08/10/2006
Last updated
05/24/2022
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