Organization
LIFECARE AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD SLAGELL (CHIEF EXECUTIVE OFFICER)
(269) 969-8844
Entity
Organization
Contact information
Practice address
330 HAMBLIN AVE W, BATTLE CREEK, MI 49015-2230
(269) 969-8844
(269) 969-6096
Mailing address
330 HAMBLIN AVE W, BATTLE CREEK, MI 49037-8430
(269) 969-8844
(269) 969-6096
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
131006
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183005468
—
MI
01
—
590A300220
BLUE CROSS
MI
Enumeration date
08/29/2006
Last updated
06/16/2018
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