Organization
COUNTY OF BENZIE
Active
Other names
BENZIE COUNTY EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUCK CLARKE (COUNTY SUPERVISOR)
(231) 882-0553
Entity
Organization
Contact information
Practice address
448 COURT PL, BEULAH, MI 49617-9518
(231) 882-0625
(231) 882-0033
Mailing address
448 COURT PLACE, BEULAH, MI 49617-9518
(231) 882-0625
(231) 882-0033
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
101001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3003187
—
MI
01
—
590058442
RAILROAD MEDICARE
MI
01
—
590A000030
BLUE CROSS BLUE SHIELD
MI
Enumeration date
11/01/2006
Last updated
12/10/2012
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