Organization
LIFE EMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK D MEIJER (PRESIDENT/OWNER)
(616) 242-8805
Entity
Organization
Contact information
Practice address
1275 CEDAR ST NE, GRAND RAPIDS, MI 49503-1378
(616) 458-0042
(616) 242-8825
Mailing address
1275 CEDAR ST NE, GRAND RAPIDS, MI 49503-1378
(616) 458-0042
(616) 242-8825
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
411005
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3004925
—
MI
Enumeration date
05/30/2006
Last updated
02/13/2023
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