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Organization

HURON VALLEY AMBULANCE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RONALD SLAGELL (PRESIDENT CEO)
(734) 477-6200
Entity
Organization

Contact information

Practice address
1200 STATE CIR, ANN ARBOR, MI 48108-1691
(734) 971-4733
(734) 477-6786
Mailing address
1200 STATE CIR, ANN ARBOR, MI 48108-1691
(734) 971-4733
(734) 477-6786

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
811006
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
183005225
MI
01
590H10020
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/25/2006
Last updated
11/15/2018
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