Organization
C M AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CHRISTINE LAKE (BILLING MANAGER)
(810) 686-7600
Entity
Organization
Contact information
Practice address
3370 W VIENNA RD, CLIO, MI 48420-1374
(810) 686-7600
(810) 686-6017
Mailing address
3370 W VIENNA RD, CLIO, MI 48420-1374
(810) 686-7600
(810) 686-6017
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
251001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000031
—
MI
01
—
590B500210
BLUECROSS BLUESHIELD
MI
Enumeration date
07/28/2005
Last updated
03/02/2009
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