MEDICARE: UNITED RESCUE SERVICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	181002	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	590058481	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590A800030	OTHER	MI	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316982465
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED RESCUE SERVICE

Provider Business Mailing Address
First Line	:	PO BOX 577
Second Line	:	229 E BEECH
City	:	HARRISON
State	:	MI
Zip	:	48625
Country	:	US
Telephone Number	:	989-539-6331
Fax Number	:	989-539-9121

Provider Business Practice Location Address
First Line	:	229 W BEECH ST
Second Line	:
City	:	HARRISON
State	:	MI
Zip	:	48625
Country	:	US
Telephone Number	:	989-539-6331
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. LARRY KEITH REED
Credential	:
Telephone Number	:	989-539-6331

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	12/14/2011

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Directions to “UNITED RESCUE SERVICE ” Practice Location

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