Organization Name: | BEAVER ISLAND EMS |
NPI Number: | 1932139201 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIELLE M DEDLOFF (EXECUTIVE DIRECTOR) |
Mailing Address: | 37865 Kings Highway Beaver Island |
State: | MI US |
Postal Code: | 49782 |
Phone Number: | 2314482578 |
Fax Number: | 2314482578 |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 03/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416A0800X |
License Number: | 151005 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Air Transport |
Taxonomy Definition: |