Organization
MICHIGAN AREA AMBULANCE SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON M FLOM (MANAGER/DIRECTOR)
(701) 259-2299
Entity
Organization
Contact information
Practice address
117 BROADWAY, MICHIGAN, ND 58259-0017
(701) 259-2299
Mailing address
PO BOX 17, 117 BROADWAY, MICHIGAN, ND 58259-0017
(701) 259-2299
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
085
ND
341600000X
Ambulance
Primary
85
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052971
—
ND
Enumeration date
05/04/2007
Last updated
12/19/2017
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