Organization Name: | INTEGRATED FIRST RESPONSE-GREAT LAKES |
NPI Number: | 1083044762 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUGLAS D ANDERSON (TREASURER) |
Mailing Address: | 719 River Avenue Iron Mountain |
State: | MI US |
Postal Code: | 49801 |
Phone Number: | 8554379111 |
Fax Number: | 6055828983 |
NPI Enumeration Date: | 11/18/2013 |
NPI Last Update Date: | 11/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 221010 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |