Organization
MESICK RESCUE SQUAD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN SHERBURNE (PRESIDENT)
(231) 885-1498
Entity
Organization
Contact information
Practice address
108 S WALTER ST, MESICK, MI 49668
(231) 885-1498
Mailing address
PO BOX 399, MESICK, MI 49668-0399
(231) 885-1498
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
831001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4365458
—
MI
01
—
590H30006
BLUE CROSS BLUE SHIELD
MI
Enumeration date
11/02/2006
Last updated
02/01/2012
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