Provider Demographics
NPI:1811264765
Name:UNITED RESCUE AMBULANCE AUTHORITY
Entity type:Organization
Organization Name:UNITED RESCUE AMBULANCE AUTHORITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:K
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:NREMT-P I/C
Authorized Official - Phone:989-539-6331
Mailing Address - Street 1:PO BOX 577
Mailing Address - Street 2:229 E BEECH ST
Mailing Address - City:HARRISON
Mailing Address - State:MI
Mailing Address - Zip Code:48625-0577
Mailing Address - Country:US
Mailing Address - Phone:989-539-6331
Mailing Address - Fax:989-539-9121
Practice Address - Street 1:229 E BEECH ST
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:MI
Practice Address - Zip Code:48625-2503
Practice Address - Country:US
Practice Address - Phone:989-539-6331
Practice Address - Fax:989-539-9121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-21
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1810023416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport