National Provider Identifier Database

ONTWA JEFFERSON MASON MILTON CALVIN TNSHPS VILLAGE OF EDWARDSBURG
Ambulance

An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).


Contact Information

ONTWA JEFFERSON MASON MILTON CALVIN TNSHPS & VILLAGE OF EDWARDSBURG
26273 E SHORE DR
EDWARDSBURG, MI49112-8453
Phone: 269-663-2347
Fax: 269-663-0072
Website:
Specialty Taxonomy Code
* Ambulance 341600000X

* Indicates primary specialty

NPI Profile & details for ONTWA JEFFERSON MASON MILTON CALVIN TNSHPS & VILLAGE OF EDWARDSBURG

NPI Number 1801831375
Legal business name
LBN
ONTWA JEFFERSON MASON MILTON CALVIN TNSHPS & VILLAGE OF EDWARDSBURG
Authorized official DENNIS CLOSSON - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 06/18/2006
Last updated 11/20/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 141003
  • MI Medicaid: 3001530

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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