Organization
CORUNNA AREA AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN W MATTHIES CCEMT-P I/C (OPERATIONS MANAGER)
(989) 743-3050
Entity
Organization
Contact information
Practice address
610 N SHIAWASSEE ST, CORUNNA, MI 48817-1040
(989) 743-3050
Mailing address
PO BOX 632964, CINCINNATI, OH 45263-2964
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
088344
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200000008550
PHPMM
MI
05
—
3003839
—
MI
01
—
590045289
RAILROAD MEDICARE
—
01
—
590G800160
BCBSM
MI
Enumeration date
09/25/2007
Last updated
12/15/2022
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