Provider Demographics
NPI:1235210246
Name:SONCO AMBULANCE INC.
Entity Type:Organization
Organization Name:SONCO AMBULANCE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:M
Authorized Official - Last Name:VLAHOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:906-827-3598
Mailing Address - Street 1:PO BOX 191
Mailing Address - Street 2:
Mailing Address - City:BRUCE CROSSING
Mailing Address - State:MI
Mailing Address - Zip Code:49912-0191
Mailing Address - Country:US
Mailing Address - Phone:906-827-3598
Mailing Address - Fax:
Practice Address - Street 1:5480 HIGHWAY M-28
Practice Address - Street 2:
Practice Address - City:BRUCE CROSSING
Practice Address - State:MI
Practice Address - Zip Code:49912-0191
Practice Address - Country:US
Practice Address - Phone:906-827-3598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6610013416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0M12570Medicare ID - Type Unspecified