FIFE LAKE AREA AMBULANCE AUTHORITY; NPI #1326267006

Contact Information

FIFE LAKE AREA AMBULANCE AUTHORITY

134 MORGAN ST
FIFE LAKE, MI 49633

Phone: 231-879-4009
Fax: 231-897-3146
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for FIFE LAKE AREA AMBULANCE AUTHORITY

NPI Number 1326267006

LBN Legal business name FIFE LAKE AREA AMBULANCE AUTHORITY

Authorized official JUDITH HOUTS - (TREASURER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/24/2007

Last updated 07/21/2011 - About 15 years ago

Identifiers

MI	Medicaid	184605474
MI	Other	590D010060	BCBS OF MICHIGAN
MI	Other	P00208624	RAILROAD MEDICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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