| Organization Name: | LIFE EMS OF IONIA CO INC |
| NPI Number: | 1366499527 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK D MEIJER (PRESIDENT/OWNER) |
| Mailing Address: | 350 W Washington St Ionia |
| State: | MI US |
| Postal Code: | 488461543 |
| Phone Number: | 6165279125 |
| Fax Number: | |
| NPI Enumeration Date: | 05/30/2006 |
| NPI Last Update Date: | 05/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 621008 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |