Organization
ONTWA JEFFERSON MASON MILTON CALVIN TNSHPS & VILLAGE OF EDWARDSBURG
Active
Other names
Edwardsburg Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS CLOSSON PARAMEDIC (ADMINISTRATOR)
(269) 663-8022
Entity
Organization
Contact information
Practice address
26273 E SHORE DR, EDWARDSBURG, MI 49112-8453
(269) 663-2347
(269) 663-0072
Mailing address
PO BOX 384, EDWARDSBURG, MI 49112-0384
(269) 663-8022
(269) 663-0130
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
141003
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3001530
—
MI
Enumeration date
06/18/2006
Last updated
11/20/2024
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