Organization
CITY OF GIBRALTAR
Active
Other names
Gibraltar PSD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM CAIN (FIRE CHIEF)
(734) 341-3543
Entity
Organization
Contact information
Practice address
29450 MUNRO ST, GIBRALTAR, MI 48173-9720
(734) 676-5229
(734) 676-5124
Mailing address
29450 MUNRO ST, GIBRALTAR, MI 48173-9720
(734) 676-1022
(734) 676-5124
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
821008
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183028140
—
MI
01
—
590H201150
BCBSM
MI
Enumeration date
06/21/2006
Last updated
03/20/2023
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