| Organization Name: | ROCKFORD AMBULANCE INC |
| NPI Number: | 1013952589 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RISSIE HAACK (OFFICE MANGER) |
| Mailing Address: | 8450 Shaner Ave Ne Rockford |
| State: | MI US |
| Postal Code: | 493419379 |
| Phone Number: | 6168660724 |
| Fax Number: | 6168663903 |
| NPI Enumeration Date: | 06/18/2006 |
| NPI Last Update Date: | 12/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |