Organization
CITY OF UTICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP PATERNOSTER (TREASURER)
(586) 739-1600
Entity
Organization
Contact information
Practice address
7609 AUBURN RD, UTICA, MI 48317-5219
(586) 731-1313
Mailing address
7550 AUBURN RD, UTICA, MI 48317-5216
(586) 731-1313
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
501014
MI
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183001496
—
MI
01
—
590E0002000
BLUE CROSS #
MI
Enumeration date
10/27/2006
Last updated
02/22/2023
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