Healthcare Provider Details

I. General information

NPI: 1558301226
Provider Name (Legal Business Name): SUTTONS BAY-BINGHAM FIRE & RESCUE AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 03/14/2024
Certification Date: 03/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S. ST MARYS AVE
SUTTONS BAY MI
49682
US

IV. Provider business mailing address

PO BOX 2122
RIVERVIEW MI
48193-1122
US

V. Phone/Fax

Practice location:
  • Phone: 231-271-6978
  • Fax: 231-271-5742
Mailing address:
  • Phone: 734-479-6300
  • Fax: 734-479-6319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number451005
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number451005
License Number StateMI

VIII. Authorized Official

Name: JAMES PORTER
Title or Position: FIRE CHIEF
Credential:
Phone: 231-271-6978