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Organization

CITY OF DEARBORN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD BEGEMAN (ASSISTANT CHIEF)
(313) 943-2016
Entity
Organization

Contact information

Practice address
3750 GREENFIELD RD, DEARBORN, MI 48120-1205
(313) 943-2016
Mailing address
3750 GREENFIELD RD, DEARBORN, MI 48120-1205
(313) 943-2016

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3416L0300X
Land Ambulance

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
183000686
MI
01
590004630
RR MEDICARE
MI
01
590H200540
BCBS
MI
Enumeration date
06/12/2006
Last updated
11/13/2024
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