Healthcare Provider Details

I. General information

NPI: 1154472090
Provider Name (Legal Business Name): NORTH ALERT EMS AMBULANCE AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 10/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

U S 2
NORWAY MI
49870
US

IV. Provider business mailing address

PO BOX 173
NORWAY MI
49870-0173
US

V. Phone/Fax

Practice location:
  • Phone: 906-563-9961
  • Fax:
Mailing address:
  • Phone: 906-563-9961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number221007
License Number StateMI

VIII. Authorized Official

Name: MR. LEONARD BAL
Title or Position: CHAIRMAN
Credential:
Phone: 906-563-5235