Organization
KINGSLEY AREA EMERGENCY AMBULANCE SERVICE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA ANN HULETT (SECRETARYTREASURER)
(231) 263-4421
Entity
Organization
Contact information
Practice address
2266 E M 113, KINGSLEY, MI 49649-9370
(231) 263-4421
(231) 263-4422
Mailing address
2266 E M 113, KINGSLEY, MI 49649-9370
(231) 263-4421
(231) 263-4422
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
281006
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183035888
—
MI
01
—
590B800090
BCBSM
MI
Enumeration date
05/16/2006
Last updated
10/29/2009
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