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VILLAGE OF DETOUR NPI 1467643320


NPI Information

NPI: 1467643320
Provider Name: VILLAGE OF DETOUR

Other Name: DETOUR AMBULANCE

Classification: Ambulance - 341600000X
Entity Type: Organization
Address:
206 S ONTARIO STREET
DETOUR, MI
ZIP 49725
Phone: (906) 297-5471
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VILLAGE OF DETOUR is an ambulance in Detour, MI. The provider is 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). VILLAGE OF DETOUR NPI is 1467643320. The provider is registered as an organization entity type.
The provider Other Name Is Detour Ambulance.

The provider's business location address is:

206 S ONTARIO STREET
DETOUR, MI
ZIP 49725
Phone: (906) 297-5471
Fax: (906) 297-2107

The provider's authorized official is Linda Marie Fisher .
The authorized official title is Clerk and has the following contact phone number (906) 297-5471.

The enumeration date for this NPI number is 8/6/2007 and was last updated on 8/6/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1341600000XAmbulance17 1002MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13001709MEDICAIDMICHIGAN
2OA70003OTHERMICHIGANBLUE CROSS OF MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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