| Organization Name: | SOUTH HAVEN AREA EMERGENCY SERVICES AUTHORITY |
| NPI Number: | 1023058542 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RON WISE (EXECUTIVE DIRECTOR/FIRE CHIEF) |
| Mailing Address: | 90 Blue Star Hwy South Haven |
| State: | MI US |
| Postal Code: | 490909683 |
| Phone Number: | 2696375151 |
| Fax Number: | 2696379346 |
| NPI Enumeration Date: | 06/07/2006 |
| NPI Last Update Date: | 09/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 801006 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |