Healthcare Provider Details

I. General information

NPI: 1811060965
Provider Name (Legal Business Name): STOCKBRIDGE AREA EMERGENCY SERVICES AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 09/19/2022
Certification Date: 09/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 S. CLINTON
STOCKBRIDGE MI
49285
US

IV. Provider business mailing address

P.O. BOX 728 125 S. CENTER ST
STOCKBRIDGE MI
49285
US

V. Phone/Fax

Practice location:
  • Phone: 517-851-7943
  • Fax: 517-851-7645
Mailing address:
  • Phone: 517-851-7943
  • Fax: 517-851-7645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: JOHN EDWARD BECK
Title or Position: GENERAL MANAGER
Credential:
Phone: 517-851-7943