Organization
HERMANSVILLE RESCUE SQUAD & AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARLINE D CORRIGAN EMT-B, I/C (TREASURER)
(906) 497-5310
Entity
Organization
Contact information
Practice address
W5468 FIRST ST, HERMANSVILLE, MI 49874-0187
(906) 498-2336
Mailing address
W5468 FIRST ST, PO BOX 187, HERMANSVILLE, MI 49874-0187
(906) 498-2336
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
551002
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1875538
—
MI
01
—
590010284
RR MEDICARE
MI
01
—
590E50002
BCBSM
MI
Enumeration date
01/30/2006
Last updated
10/12/2011
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