Provider Demographics
NPI:1356053201
Name:SIMPLICITY EMERGENCY RESPONSE TEAM
Entity type:Organization
Organization Name:SIMPLICITY EMERGENCY RESPONSE TEAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:AIKENS
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:810-882-1363
Mailing Address - Street 1:212 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:CARO
Mailing Address - State:MI
Mailing Address - Zip Code:48723-1561
Mailing Address - Country:US
Mailing Address - Phone:810-882-1363
Mailing Address - Fax:
Practice Address - Street 1:212 N STATE ST
Practice Address - Street 2:
Practice Address - City:CARO
Practice Address - State:MI
Practice Address - Zip Code:48723-1561
Practice Address - Country:US
Practice Address - Phone:810-882-1363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-21
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance