Organization
VILLAGE OF MACKINAW CITY
Active
Other names
Village of Mackinaw City Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA B PEPPLER (VILLAGE TREASURER)
(231) 436-5351
Entity
Organization
Contact information
Practice address
102 S. HURON, MACKINAW CITY, MI 49701
(231) 436-5351
Mailing address
PO BOX 580, 102 S HURON AVE, MACKINAW CITY, MI 49701
(231) 436-5351
(231) 436-4166
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A60005
BLUE CROSS BLUE SHIELD
MI
Enumeration date
10/16/2006
Last updated
02/15/2008
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