Organization
LARK MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN KELLY LARK II EMT-B, LPN (OWNER)
(910) 489-4729
Entity
Organization
Contact information
Practice address
722 E 3RD ST, ELK RAPIDS, MI 49629-9402
(910) 489-4729
Mailing address
722 E 3RD ST, ELK RAPIDS, MI 49629-9402
(910) 489-4729
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
08/23/2026
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