| Organization Name: | COLOMA EMERGENCY AMBULANCE, INC. |
| NPI Number: | 1053347559 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRIAN B BALOW (PRESIDENT / CEO) |
| Mailing Address: | 5088 Meredith St Portage |
| State: | MI US |
| Postal Code: | 490022002 |
| Phone Number: | 2693432224 |
| Fax Number: | 2693436503 |
| NPI Enumeration Date: | 06/25/2006 |
| NPI Last Update Date: | 05/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 111002 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |