Organization
CITY OF ECORSE
Active
Other names
ECORSE FIRE DEPARTMENT
Organization subpart
No
Provider details
NPI number
Authorized official
FRANKLIN HAYES (ADMINISTRATOR)
(313) 779-9032
Entity
Organization
Contact information
Practice address
3869 W JEFFERSON AVE, ECORSE, MI 48229-1701
(313) 381-6889
(313) 386-8162
Mailing address
3869 W JEFFERSON AVE, ECORSE, MI 48229-1701
(313) 381-6889
(313) 386-8162
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
821005
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183005109
—
MI
01
—
590H200990
BLUE CROSS BLUE SHIELD
MI
Enumeration date
12/04/2006
Last updated
12/13/2022
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