Organization
FIFE LAKE AREA AMBULANCE AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDITH G. HOUTS (TREASURER)
(231) 357-5442
Entity
Organization
Contact information
Practice address
134 MORGAN ST, FIFE LAKE, MI 49633
(231) 879-4009
(231) 897-3146
Mailing address
P.O. BOX 216, FIFE LAKE, MI 49633
(231) 879-4009
(231) 879-3146
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184605474
—
MI
01
—
590D010060
BCBS OF MICHIGAN
MI
01
—
P00208624
RAILROAD MEDICARE
MI
Enumeration date
04/24/2007
Last updated
07/21/2011
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