Healthcare Provider Details

I. General information

NPI: 1447428313
Provider Name (Legal Business Name): NORTHEAST INGHAM EMERGENCY SERVICES AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2008
Last Update Date: 08/10/2024
Certification Date: 08/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1296 W GRAND RIVER AVE
WILLIAMSTON MI
48895-9771
US

IV. Provider business mailing address

1296 W GRAND RIVER AVE
WILLIAMSTON MI
48895-9771
US

V. Phone/Fax

Practice location:
  • Phone: 517-655-1383
  • Fax: 517-655-9384
Mailing address:
  • Phone: 517-655-1383
  • Fax: 517-655-3384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number331009
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL J YANZ
Title or Position: DIRECTOR/FIRE CHIEF
Credential:
Phone: 517-655-3384