Organization
THREE OAKS EMERGENCY VEHICLE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA M BECK (OPERATIONS MANAGER)
(269) 756-9818
Entity
Organization
Contact information
Practice address
21 S ELM ST, THREE OAKS, MI 49128-1121
(269) 756-9818
(269) 756-9098
Mailing address
2100 W CHICAGO RD, NILES, MI 49120-8701
(269) 684-2170
(269) 684-2152
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182710541
—
MI
01
—
590A100173
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/19/2006
Last updated
01/23/2013
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