Organization
LAPEER COUNTY EMS AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GALLAND BURNHAM (EXECUTIVE DIRECTOR)
(810) 664-2927
Entity
Organization
Contact information
Practice address
3565 GENESEE RD, ST 1, LAPEER, MI 48446-2984
(810) 664-2927
(810) 664-3749
Mailing address
3565 GENESEE RD, SUITE # 1, LAPEER, MI 48446-2984
(810) 664-2927
(810) 664-3749
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
441002
MI
3416L0300X
Land Ambulance
441002
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184338370
—
MI
01
—
590D400030
BLUE CROSS BLUE SHIELD
MI
Enumeration date
08/17/2005
Last updated
04/20/2011
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