Organization
AMERICAN AMBULANCE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRENDA ILENE LOCKHART (BILLING CLERK)
(313) 961-0876
Entity
Organization
Contact information
Practice address
1050 TRUMBULL ST, DETROIT, MI 48216-1939
(313) 961-0876
Mailing address
1050 TRUMBULL ST, DETROIT, MI 48216-1939
(313) 961-0876
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
821002
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59OH20009
BLUE CROSS
MI
Enumeration date
10/13/2006
Last updated
10/23/2007
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