| Organization Name: | OTSEGO COUNTY AMBULANCE CORP, INC. |
| NPI Number: | 1205832656 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JON DEMING (CHIEF) |
| Mailing Address: | 100 Mclouth Rd Gaylord |
| State: | MI US |
| Postal Code: | 497359339 |
| Phone Number: | 9897329085 |
| Fax Number: | 9897329497 |
| NPI Enumeration Date: | 06/21/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 691001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |