Organization
BAY AMBULANCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY WADAGA EMTP (DIRECTOR)
(906) 353-6196
Entity
Organization
Contact information
Practice address
116 MICHIGAN AVE, BARAGA, MI 49908-9676
(906) 353-6196
(906) 353-8176
Mailing address
PO BOX 1, BARAGA, MI 49908-0001
(906) 353-6196
(906) 353-8176
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
071001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3001825
—
MI
Enumeration date
07/07/2005
Last updated
06/05/2012
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