Provider Demographics
NPI:1013011444
Name:ELSIE AREA AMBULANCE SERVICE, INC
Entity Type:Organization
Organization Name:ELSIE AREA AMBULANCE SERVICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:DELIGHT
Authorized Official - Last Name:LEVEY
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-B/IC
Authorized Official - Phone:989-862-5674
Mailing Address - Street 1:PO BOX 528
Mailing Address - Street 2:
Mailing Address - City:ELSIE
Mailing Address - State:MI
Mailing Address - Zip Code:48831-0528
Mailing Address - Country:US
Mailing Address - Phone:989-862-5513
Mailing Address - Fax:
Practice Address - Street 1:140 W. MAPLE ST.
Practice Address - Street 2:
Practice Address - City:ELSIE
Practice Address - State:MI
Practice Address - Zip Code:48831-0528
Practice Address - Country:US
Practice Address - Phone:989-862-5513
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI19 10023416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport