Organization
COUNTY OF MECOSTA
Active
Other names
MECOSTA COUNTY EMS
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG LAWRENCE JOHNSON (EMS DIRECTOR)
(231) 796-2626
Entity
Organization
Contact information
Practice address
14485 NORTHLAND DR, BIG RAPIDS, MI 49307-2368
(231) 796-2626
(231) 796-0231
Mailing address
14485 NORTHLAND DRIVE, BIG RAPIDS, MI 49307-2368
(231) 796-2626
(231) 796-0231
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
541001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E40001
BLUE CROSS BLUE SHIELD
MI
05
—
183000480
—
MI
Enumeration date
09/28/2006
Last updated
04/23/2024
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