| Organization Name: | LESLIE AREA AMBULANCE SERVICE, INC. |
| NPI Number: | 1427046481 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KELLIE SUE SWIFT (BOOKKEEPER,BILLER) |
| Mailing Address: | 210 E Bellevue St Leslie |
| State: | MI US |
| Postal Code: | 492519373 |
| Phone Number: | 5175899141 |
| Fax Number: | 5175899819 |
| NPI Enumeration Date: | 10/12/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 331005 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |