Organization
SOUTH COUNTY EMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACY MCMILLIAN (OPERATIONS MANAGER)
(269) 649-1381
Entity
Organization
Contact information
Practice address
13318 N BOULEVARD ST, VICKSBURG, MI 49097-1514
(269) 649-1381
(269) 649-4922
Mailing address
13318 N BOULEVARD ST, VICKSBURG, MI 49097-1514
(269) 649-1381
(269) 649-4922
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
391027
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3042505
—
MI
Enumeration date
06/18/2006
Last updated
05/31/2012
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