Organization
EAST BAY CHARTER TOWNSHIP
Active
Parent organization
EAST BAY CHARTER TOWNSHIP
Other names
East Bay Ambulance
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST BAY CHARTER TOWNSHIP
Authorized official
NICHOLAS LEMCOOL (AMBULANCE DIRECTOR)
(231) 947-0299
Entity
Organization
Contact information
Practice address
110 HIGH LAKE RD, TRAVERSE CITY, MI 49686-8136
(231) 947-0299
(231) 947-0602
Mailing address
110 HIGH LAKE RD, TRAVERSE CITY, MI 49696-8136
(231) 947-0299
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
28 1001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2968239
—
MI
01
—
590009133
RAILROAD MEDICARE
—
Enumeration date
01/15/2007
Last updated
07/31/2024
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