Provider Demographics
NPI:1043836893
Name:MID COUNTY RESCUE SQUAD INC
Entity Type:Organization
Organization Name:MID COUNTY RESCUE SQUAD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:THOUNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:906-235-1787
Mailing Address - Street 1:PO BOX 468
Mailing Address - Street 2:
Mailing Address - City:STEPHENSON
Mailing Address - State:MI
Mailing Address - Zip Code:49887-0468
Mailing Address - Country:US
Mailing Address - Phone:906-753-2273
Mailing Address - Fax:
Practice Address - Street 1:S702 US HIGHWAY 41
Practice Address - Street 2:
Practice Address - City:STEPHENSON
Practice Address - State:MI
Practice Address - Zip Code:49887
Practice Address - Country:US
Practice Address - Phone:906-753-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-17
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance